In the first hour of life the infant became tachypnoeic and was admitted to the special care nursery for investigation. On examination his weight of 3640g was appropriate for a gestational age of 39 weeks. He was tachypnoeic with an overinflated chest. There was a widespread erythematous rash over the neck, trunk and limbs. White cell count was 20.3 x 109/1, 85% neutrophils; platelets 238,000/m...

To cite: Chida Y, Inokuchi R, Ishida T, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-217799 DESCRIPTION A healthy man aged 32 years, with no notable family or medical history and no history of trauma, reported of sudden severe back pain on stretching and holding his breath while working at his desk. Apart from tachypnoea, his vital signs and physic...

A series is reported of five patients with acute respiratory failure complicating neuromuscular diseases, three of whom required assisted ventilation. Initially the arterial carbon dioxide tension fell to levels below the normal range in all the patients and this change reflects alveolar hyperventilation which is probably produced by a combination of fear, small airway collapse, and reflex tach...

In 20 children needing treatment for symptomatic sick sinus syndrome, the average age at presentation was 7.1 years and ranged from 9 months to 18 years. Symptoms were never precise but, in retrospect, 5 children had syncope, 7 had a rapid heart action, 6 had dyspnoea or tachypnoea, 2 had nonspecific chest pains, 2 had pale spells, and 1 had a sudden hemiplegia. Symptoms followed cardiac surger...

AIM We hypothesised that chloral hydrate is safe and effective for sedation during dental treatments for children with mild asthma. We evaluated the safety and efficacy of chloral hydrate by measuring changes in heart rate (HR), transcutaneous oxygen saturation, (SpO2), asthma score, behaviour, types and frequency of adverse reactions associated with chloral hydrate were assessed throughout tre...

A b st ra ct Objectives: To correlate the degree of encephalopathy, baseline values of PaCO and pH, and their early 2 response to NIV with eventual in-hospital outcome in patients of severe acute-on-chronic hypercapnic respiratory failure in COPD. Design: Retrospective review. Setting: Intensive care unit. Material and methods: 24 episodes of acute exacerbation of COPD in 17 patients (10 female...

Acute bronchiolitis is the most common severe lower respiratory tract infection of infancy. About 2% of all babies born in the previous 12 months will be admitted to hospital with the condition.' Although the clinical picture can be produced by various viruses, including influenza and parainfluenza virus and the adenoviruses, most cases, particularly during the winter epidemics, are due to infe...

Saraya T, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223147 Description An 87-year-old woman was referred to our hospital with progressive dyspnoea on effort over the previous 2 weeks. She had been treated for rheumatoid arthritis with oral prednisolone (5 mg/day) and tacrolimus (2 mg/day). At her first visit, vital signs and physical examination were normal except for slight rhonchi in ant...

PURPOSE The purpose of this study is to assess pregnancy outcomes of women treated with a novel neuraminidase inhibitor, laninamivir, during pregnancy. METHODS A retrospective review of pregnancy outcomes of 112 pregnant women who were given laninamivir for treatment of influenza was performed. Possible adverse events, including miscarriages, preterm birth, foetal malformation and any neonata...

AIM To determine if terbutaline given to mothers before elective caesarean section facilitates neonatal respiration and metabolism. METHODS A randomised controlled trial of 25 full term infants delivered by elective caesarean section was conducted. The mothers received a continuous infusion of terbutaline or saline 120-0 minutes before birth. Umbilical artery blood was collected at birth and ...