In addition, a thorough and frequent respiratory assessment
during administration of epidural analgesia will reduce the patient's risk for respiratory depression.
Conversely, fear of respiratory failure can lead to ineffective pain management, so nurses must understand the need for thorough respiratory assessment
Conclusion: Hypertonic saline resulted in significant reductions in modified respiratory assessment
score (MRAS) and hospital stay as compared to normal saline in children with acute bronchiolitis.
Based on the Respiratory Assessment
Change Score (RACS)--which uses the RDAI score and a standardized change in respiratory rate to assess respiratory status changes--the normal saline group showed clinically significant improvement (a RACS of--3) after an hour, whereas the hypertonic saline group did not.
Children with any complex chest problems will be seen by the respiratory team and will usually need a full respiratory assessment
including the detailed testing undertaken in the suite.
The Trust's Community Respiratory Assessment
and Management service (CRAMS) was initially set up by NHS Hartlepool and is run in conjunction with the British Lung Foundation.
Investigations form an important tool in the respiratory assessment
of patients undergoing surgery.
The nurses, from the Acute Respiratory Assessment
Service (ARAS) based at South Tyneside District Hospital, were offering the free lung function tests at Asda in South Shields to raise awareness of Chronic Obstructive Pulmonary Disease (COPD).
Other Intensive care Length of postoperative stay in intensive care unit in days Presence of preoperative History of acute upper or lower respiratory chest infection tract infection requiring medication in the past 14 days [+ or -] presence of purulent sputum Abnormal preoperative Abnormal auscultation, cough, thoracic respiratory assessment
expansion, or preoperative oxygen saturation levels [VO.sub.2]max = maximal oxygen uptake Table 2.
The secondary outcome was the Respiratory Assessment
At 4 hours, respiratory assessment
change scores improved more in the steroid group, and admission rates were much lower, at 19%, compared with 44% in placebo patients (J.