Acute respiratory distress syndrome and / or hemodynamically unstable children
Conditions
Interventions
Gold Standard:Traditional radiographic examination:
(1) clinical symptoms and signs (refer to selection criteria)
(2) chest radiograph, chest CT
(3) the diagnosis of professional ultrasound physician
(4) retrospective diagnosis of therapeutic effect.(1) and (2) as the basis for diagnosis, (4) as a reference
heart disease and capacity to
lung 
Blind 
design: 
subjects, 
ultrasound 
operators 
(do 
grasp 
the 
clinical 
imaging 
Sponsors
The Affiliated Hospital of Guangdong Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) in children with PICU and NICU: respiratory distress: clinical manifestations (cyanosis, shortness of breath, nasal incitement, three sign positive), sea level atmospheric pressure, the exclusion of cardiac structure shunt and reduction of the original cardiac output PO2 50mm Hg.(2) hemodynamic instability: A. There are reasons for the cause of circulating fluctuations: such as infection, trauma, blood loss, loss of fluid, burns, heart dysfunction and so on. B. Disturbance of consciousness. C = heart rate: 0- 4 years old -12 years old: = 150 times / Min or = 110 times / min: = 110 times / min or = 70 times / min;> 12 years old: = 100 times / min or = 60 times / min. D. Limbs wet, limbs end CRT> 2S, skin pattern, mucous membrane pale or cyanosis, urine 4 years old- = 120mmHg or =90mmHg;> 12 years old: = 130mmHg or =100mmHg; or diastolic blood pressure abnormalities (diastolic blood pressure is 2/3 systolic blood pressure).Previously there are a and e, and there are b, c, d one of which was selected for this study.
Exclusion criteria
Exclusion criteria: 1. Congenital cyanosis except congenital heart 2. combined with severe thoracic deformity, or a lot of subcutaneous emphysema can not be cardiopulmonary ultrasound.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Bedside Lung Ultrasound in Emergency;Fluid Administration Limited by Lung Sonography; | — |
Countries
China
Contacts
Public ContactHuang Yuge
The Affiliated Hospital of Guangdong Medical University
Outcome results
None listed