Single step gastric aspirate shake test as a screening procedure for predicting the risk of neonatal respiratory distress
Abstract
Predicting the occurrence of Neonatal Respiratory Disttress or lRDS in peripheral areas before symptoms and signs develop is of utmost importance, since an appropriate treatment and management can be performed only in a well-equipped hospital. Many diagnostic methods are used for the prediction of IRDS, yet they require elaborate and sophisticated instruments and technical experts which usually are not available in the front-line medical centres.
In this study, the single-step gastric aspirate shake test of Tanswell et al., (1977) proves to be all extremely valuable method which should be incorporated into the armamentarium of diagnostic tests in the first line medical centres, as to enable a more well-directed referral system.
Despite the small number of our IRDS cases, our patients show clinical pictures similar to those observed by many other investigators. However, further studies for a more conclusive result are certainly justified.
References
2. AULD, P., HODSON, A. and USHER, R.: Hyalinc mcmbrane disease. J. Paedi.tr. 80 129 -t40 (1972).
3. BADA, H.S., ALO)JPAN, L.C. and ANDREWS, B.F. Premature Rupture of Membranes and Its Effect on the Newborn. Ped. CHn. N. AlTIcr. 24: 491 - 500 (1977).
4. BADEN, M., BAUR, C.R , COLLE E., KLEIN, G., TAEUSCH, H.W. and STERN, L. A Controlled Trial of Hydrocortisone Thcrapy in Infants with Respiratory Distress Syndrome. Pediatric, 50 : 526 -534 (1972).
5. COOK, C.D. Devclopmcnt of the Respiratory System and Initiation of Respiration. In Nclson Textbook of Pediatrics, 10th ed. pp. 923 -924 (Saunders, Philucl.eJphia/London/Toronto/Igaku Shoin Tokyo 1975).
6. CLEMENTS, J.A., PLATZKER, A.C.G .. TIERNEY, D.F., HOBEL, C.J., CREASY, R.K., MARGOLIS, A.J., THIBEAULT. D.W., TOOLEY, W.H. and OH, W.: Assessment of the Respiratory distress Syndrome by A Rapid Test for Surfactant in Amniotic Fluid. New Engl. I. Med. 286 1077 - 1081 (1972).
7. COWETT, R.M.. UNSWORTH, E.J .. HAKANSON, D.O., WILLlAMS, I.R. and OH, W. Foam-stability Test on
Gastric Aspirate and the Diagnosis of Respiratory-distress Syndrome. New Engl. I. Med. 293 41J - 416 (1975).
8. DOWNES, j.J., VlDYASAGAR, D., MORROW, G.M., BOGGS, T.R. Jr. Respiratory Distress Syndrome of Newborn Infants. Clin. Pediatr. 9 325 -331 (1970).
9. DUBOWITZ, L.M.S., DUBOWlTZ, V. and GOLDBERG, C. Clinical assessment of gestational age in the newborn infant. J. Pediatr. 77: 1-10 (1970).
10. EVANS, J.T.: Prediction of Respiratory Distress Syndrome by Shake Test on Newhom Gastric Aspirate. New Engl, J. Med. 292: 1113-115 (1975).
11. EVANS, H.E. and GLASS, L. Perinatal Medicine. Medical Department, pp. 92 -100 (Harper and Row, Hagerstown/Maryland/New York/San fransisco/London 1976).
12. GEWOLB, l.H., LEBOWITZ, R.L., and TAESCH. H.W. Thymus size and its relationship to the respiratory distresss syndrome. J. Pediatr. 95 108 -111 (1979).
13. GLUCK, L., KULOVICH, M.Y., BORER, R.C Je., BRENNER,P.H., ANDERSON, GO. and SPELLACY; W.N. Diagnosis of the respiratory distress syndrome 'by amnio-centesis. Am_ J. Obstet. Gynec. 109: 440-445 (1971).
14. GLUCK, L., KULOVICH, M.V., BORER, R.C. Jr., KElDEL, W.N. The interpretation and significance of the
lecitilin/sphyngomyelin ratio in amniotic fluid. Am. J. ObsteL Gynec. 120 142-15; (1974).
15. GRAVEN, S.N., OPITZ, J.M., HARRISON, M. : The respiratory distress syndrome. Risk related to maternal factors. Am. J. Obstet. Gynec. 96 : 969-976 (1966).
16. KLAUS, M.H. and FANAROFFF, A.A. : Care of the High-risk Neonate, pp. 128-141 (Saunders, Philadelphia/London/Toronto 1973).
17. LlNDERKAMP, 0., VERSMOLD, H.T., FENDEL, H., RIEGEL, K.P. and BETKE, K. : Association of Neonatal Respiratory Distress with Birth Asphyxia and Deficiency of Red Cell Mass in Premature Infants. Europ. J. Pediatr. 129 : 167 (1978).
18. LUBCHENCO, L.O., SEARLS, D.T. and BRAZIE, J.V.: Neonatal mortality rate: Relationship to birth weight and gestational age. J. Pedia•tr. (1972).
19. MILLER, H.C. and FRUTAKUL, P.: Birth weight, gestational age, and sex as determining factors in the incidence of respiratory distress syndrome of prematurely born infants. J. Pediatr. 72: 628-635 (1968).
20. MUKHERJEE, T.K., RAJEGOWDA, B.K., GLASS, L.L., AUERBACH, J. and EVANS, H.E.: Amniotic fluid shake test versus lecithin/sphyngomyelin ratio in the antenatal prediction of respiratory distress syndrome. Am. J .Obstet. Gynec. 119: 648-652 (1974).
21. NAEYE, R.L., HARCKE, H.T. and BLANC, W.A.: Adrenal gland structure and the Development of Hyaline Membrane Disease. Pediatr. 47: 650•657 (1971).
22. SARWONO, E.: Annual Report of Neonatalogical Subdivision, Child Health Department, Dr. Soetomo Hospital, Surabaya, Indonesia (1979).
23. SCHAFFER, A.J. and AVERY, M.E. : Diseasess of the Newborn. 4th Ed. pp. 134 -141 (Saunders, Philadelphia/London/ Toronto 1977).
24. SHINITZKY. M., GOLDFlSHER, A., BRUCK, A., GOLDMAN, B., STERN, E., BARKAI G., MASHIACH, S. and
SERR, D.M.: A New Method for Assessment of Fetal Lung Matunifty. Br. J. Obstet. Gynec. 83 : 838 - 844 (1976).
25. SILVERMAN, W.A. and ANDERSON, D.H. A Controlled Clinical Trial of Effects of Water Mist on Obstructive Respiratory Signs, Death Rate and Necropsy Findings among Premature Infants. Pediatrics 17 1 - 10 (1956).
26. SPROULE, W.B., GREENE, M.E., WHITFIELD. C.R. Amniotic fluid bubble stability test as a screening procedure for predicing the risk of neonatal respiratory distress. Am. J. Obstet. Gynec. 119 : 653 - 656 (1974).
27. STAHLMAN, M.T. : Acute Respiratory Disorders in the Newborn. In Avery's: Neonatalogy: Pathophysiology and Management of the Newborn. pp. 221- 249 (Lippincott, PhUadclphia/Toronto,
1975.
28. TANSWELL, A.K., SHERWIN, E. and SMITH, B.T.: Single-step gastric aspirate shake test. Bedside predictor of neonatal pulmonary morbidity. Arch. Dis. Child. 52: 541- 544 (1977).
29. TAYLOR, P.M.: Respiratory Distress in the Newborn. Clin. Obstet. Gynec. 14 : 763 - 789 (1971).
30. USHER, R., McLEAN, F., MAUGHAN, G.B.: Respiratory distress syndrome in infants delivered by cesarean section. Am. J. Obstet. Gynec. 88 : 806 – 815 (1964).
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Accepted 2017-01-25
Published 1981-04-30