Single step gastric aspirate shake test as a screening procedure for predicting the risk of neonatal respiratory distress

  • H. Tjandra Department of Child Health, Airlangga University Medical School/Dr. Soetomo Hospital, Surabaya, East Java
  • E. Sarwono Department of Child Health, Airlangga University Medical School/Dr. Soetomo Hospital, Surabaya, East Java
Keywords: gastric aspirate shake test, screening, neonatal respiratory distress, IRDS

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

1. AULD, P.A.M. Hyaline membrane disease (idiopathic respiratory distress syndrome); in Bchrman, R.E.• Neonatology, pp 360 -368 (Mosby. Snint Louis (973).
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).
Published
1981-04-30
How to Cite
1.
Tjandra H, Sarwono E. Single step gastric aspirate shake test as a screening procedure for predicting the risk of neonatal respiratory distress. PI [Internet]. 30Apr.1981 [cited 18Apr.2024];21(3-4):69-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1183
Received 2017-01-25
Accepted 2017-01-25
Published 1981-04-30