Documentos de Académico
Documentos de Profesional
Documentos de Cultura
WAHYUNI INDAWATI
TRAINING :
Cystic Fibrosis : Sophia Children Hospital Rotterdam
Bronchoscopy : NUH Singapore, Hongkong University
Pediatric TB : Stellenbosch University South Africa
ORGANISASI :
Sekretaris Bidang III PP IDAI 2011-2014
Sekretaris UKK Respirologi PP IDAI 2014-2017
Sekretaris Satgas Farmasi PP IDAI 2014-2017
DYSPNEA IN CHILDREN
A DIAGNOSIS APPROACH
Wahyuni Indawati
Respirology Division Child Health Department
Cipto Mangunkusumo Hospital
Faculty of Medicine Universitas Indonesia
DYSPNEA
Breathlessness or shortness of breath; labored
or difficult breathing
It is a sign of a variety of disorders and is
primarily an indication of inadequate
ventilation or of insufficient amounts of
oxygen in the circulating blood
Objective
Subjective - Breathing effort
- Uncomfort breathing - Forced breathing
- Difficult breathing - Changed breathing
pattern
BREATHING
Process of taking air into the lung Process of taking air out from the
(Inspiration ) lung (Ekspiration)
VENTILATION
RESPIRATION Steps of respiration
3. Circulation (transport) of
O2 & CO2 between the lungs
and the tissue
Internal
respiration
EXTERNAL RESPIRATION
Respiratory system
Ventilation ~ Breathing
function
EXTERNAL RESPIRATION
V a sum VOLUME of
air FLOW in and out
L/mnt
the respiratory tract 4.2
Q a sum VOLUME of
L/mnt
blood FLOW through
alveolar capillary 5
Sherwood L, The Respiratory System, 2004
EXTERNAL RESPIRATION
to take place, the optimal gas
ventilation exchange (diffusion) from air to
V blood in alveolar capillary bed
need an certain ratio between
VENTILATION & PERFUSION
V/Q = 4/5
perfusion Q V
Q Q V
PATHOPHYSIOLOGY
DYSPNEA
BREATHING DIFFICULTIES ~ VENTILATION
DISTURBANCE
EXPIRATORY EFFORT
PROLONGED EXPIRIUM,WHEEZING FLOW DISTURBANCE
DYSPNEA CLASSIFICATION
EXTRA Obstruction of proximal / larger
thorax airway
FLOW
disorders
INTRA Obstruction of distal / smaller airway
thorax