Hyperventilation in Children with Dengue Hemorrhagic Fever (DHF)
Abstract
Many studies of Dengue Hemorrhagic Fever (DHF) have been done but only a few revealed the respiratory status. Respiratory problems arise. because of plasma leakage through the 'damaged capillaries, causing lung edema and in turn result in hypoxemia. This later on will be compensated by a hyperventilation state.
During a 6-month-period (May to September 1988), two aspects were studied in 85 patients hospitalized with DHF. First, the ventilatory pattern and second, the result of giving oxygen support in improving the respiratory disturbance, in this case alveolar hyperventilation.
The incidence of alveolar hyperventilation in DHF grade II (DHF II) and Dengue Shock Syndrome (DSS) differed significantly. Hypoxemia occurred in DHF II and DSS with no significant differences. The difference of the incidence of metabolic acidosis in DHF II and DSS were significant.
In DHF II patients having had hyperventilation state, oxygen therapy decreased respiration rate significantly and increased the PaC02 though not significantly.
References
2. PONOPANICH BA, ICUMPONPANT S. Studies of dengue haemorrhagic fever. J Pedlat 1973; 83: 1073-6.
3. MILLER LH, MAKARAMON DP, SITPRIJA V, SOEBSANOUAN C. Hyponatremia in malaria 1967; cited from Sumarmo.
4. BHAMARAPAVATI N, TUCHINDA P, BOONYAPAKNAVIC V. Pathology of Thailand haemorrhagic fever : A study of 100 autopsy cues. Ann Trop Med Paruit 1987;.16: 500.9.
5. TAMAELALA ,KAIUOMANOOOLO. The role of radiologic eumination in DHF. In : dengue haemorrhagic fever in children. Jakarta: FKUI, 1982 : 1-4.
6. KASIM YA. : Management of severe dengue haemorrbaaic fever in pediatric intensive therapy. Jakarta: FKUI, 1982.
7. World Health Organizatn. Technical guides for diagnosis, treatment, surveillance, prevention and control of dengue haemorrhagic fever. Technical advisory committee on dengue haemorrhagic fever for the South-east Asian and Western Pacific Region. 197.5 : 1-35.
8. VARAVITHYA W, MANU P, KITTIKOL J, PHONOBETCHARA P; KASHEMSANT C. Studies on deque baeiiJorrhqlc fever II. Electrolyte study, 1973; citect from Sumarmo.
9. SHAPIRO BA. HARISON RA; WALSON JR. Clinical appliCation of blood Cases. ChicaGo: Year Book Medical, 1978.
10. SHAPIRO BA, HARISON RA, WALSON JR, Clinical application of respiratory care. Chicago: Year Book Medical, 1982.
Copyright (c) 2019 Kasim Y. A., Anky Tri Rini K. E., Sumarmo S. P. S.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
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.
Published 2019-01-31
