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Published byAngelica Hill
Modified over 4 years ago
RT 256 Idiopathic (Infant) Respiratory Distress Syndrome
IRDS Also Called:Pathophysiology neonatal respiratory distress syndrome respiratory distress syndrome of newborn hyaline membrane disease Surfactant deficiency or abnormality Pulmonary hypoperfusion due to hypoxia PPHN
Etiology Predisposed in: Cesarean birth Diabetic mother Maternal bleeding Premature birth Prenatal asphyxia Prolonged labor or Rapid labor Second-born twin or sibling with IRDS caucasian males
Presentation Clinical signs of respiratory distress ABG’s show hypoxemia, hypercapnia and respiratory acidosis Symptoms within the first 8 hours of life Peak usually by third day “ground glass” appearance of the CXR
Management Antenatal glucocorticoids (steroids) Surfactant replacement therapy Empiric antibiotic therapy Thermoregulation Avoid hypoxemia and acidosis PaO 2 50-70mmHg Optimize fluid management Reduce metabolic demands Minimize lung injury CPAP Vt 4-5ml/kg PEEP
Alterations of Pulmonary Function in Children Chapter 34 Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
Late Exogenous Surfactant Therapy In Preterm Neonates With Respiratory Distress Syndrome By Dr. Mohamed El- Sherbini.
Meconium Happens: Meconium Aspiration Syndrome John Salyer RRT-NPS, FAARC, MBA Director Respiratory Therapy Seattle Children’s Hospital and Research Institute.
Mechanical Ventilation in the Neonate RC 290 CPAP Indications: Refractory Hypoxemia –PaO2 –Many hospitals use 50% as the upper limit before changing.
Respiratory distress Cause of significant morbidity and mortality
Respiratory Distress Syndrome
Acute Respiratory Distress Syndrome Sa’ad Lahri Registrar Department of Emergency Medicine UCT/ University of Stellenbosch.
รองศาสตราจารย์ นายแพทย์ อติวุทธ กมุทมาศ
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ABNORMALITIES OF THE UMBILICAL CORD ASSOCIATE PROFESSOR IOLNDA ELENA BLIDARU MD, PhD.
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1 Neonatal Sepsis By Dr. Nahed Said Al- Nagger. 2 Objectives: Define neonatal sepsis. 1. List the causes make neonates susceptible to infection. 2. State.
Meconium Aspiration Syndrome Edited May PO 2 L --> R ductus arteriosus shunt Ventilation Remove Placenta Ductus Venosus Closes Systemic Vascular.
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Critical Neonate Rafat Mosalli MD. Objectives Describe the algorithm for neonatal resuscitation and Delivery room management Describe the algorithm for.
Part 2 by Yong. Most common cause of respiratory distress. 40% cases. Residual fluid in fetal lung tissues. Risk factors- maternal asthma, c-
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