Neonatal Respiratory Distress and treatment modalities

Dr Piyush Shah, Dr. R. Kishore Kumar
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Investigations
(1) SPO2: with signs of RD, SPO2 reading taken on right arm (preductal) with good digital trace
• persistent < 93% in room air
• Differential SPO2 between pre- & post-ductal SPO2 > 10% suggestive of PPHN(7).
(2) Chest radiograph:
• TTN- The chest radiograph will show bilateral perihilar streaking with evidence of fissure fluids.
• RDS - Low volume lung, reticular granular pattern to white out appearing lung.
• PPHN- usually a normal appearing lung or findings of secondary pathology e.g. meconium aspiration syndrome, pneumonia, pulmonary hypoplasia, congenital diaphragmatic hernia etc.
(3) Arterial Blood gas: Respiratory acidosis pH < 7.2, with pCO2 > 45 mm of Hg
Worsening oxygenation, PaO2 < 60 mm Hg on supplemental oxygen

References
Neonatal Respiratory Distress and treatment modalities Neonatal Respiratory Distress and treatment modalities 09/05/2018
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