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Silverman

The Silverman-Anderson Index is an assessment scoring system that evaluates 5 parameters of work of breathing and assigns a numerical score to each parameter from 0-2, with higher scores indicating more severe impairment. The parameters assessed are retraction of the chest, intercostal and xiphoid retractions, nasal flaring, and expiratory grunt. A total cumulative score of 0 indicates normal breathing, while scores closer to 10 represent more critical illness or severe respiratory distress.

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59 views4 pages

Silverman

The Silverman-Anderson Index is an assessment scoring system that evaluates 5 parameters of work of breathing and assigns a numerical score to each parameter from 0-2, with higher scores indicating more severe impairment. The parameters assessed are retraction of the chest, intercostal and xiphoid retractions, nasal flaring, and expiratory grunt. A total cumulative score of 0 indicates normal breathing, while scores closer to 10 represent more critical illness or severe respiratory distress.

Uploaded by

Evelyn Medina
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SILVERMAN - INDEX

 Silverman-Anderson Index is an assessment scoring system


that evaluates 5 parameters of work of breathing and assigns a
numerical score for each parameter. Each category is scored as
“0” for normal, “1” for moderate impairment or “2” for severe
impairment. Parameters assess are retraction of the chest
movements, intercostal and xiphoid retractions; nasal flaring;
and expiratory grunt. Normally functioning children should
have a cumulative score of 0, whereas critically ill and
severely depressed children will have scores closer to 10.
Respiratory Evaluation – Silverman-Andersen Index, p. 438
 The higher the score, the more severe the
respiratory distress
 The lower the total score the better the baby.

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