1 / 14

Idiopathic (Infant) Respiratory Distress Syndrome

Idiopathic (Infant) Respiratory Distress Syndrome. RT 256. 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.

zwi
Download Presentation

Idiopathic (Infant) Respiratory Distress Syndrome

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Idiopathic (Infant) Respiratory Distress Syndrome RT 256

  2. 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

  3. 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

  4. 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

  5. Management • Antenatal glucocorticoids (steroids) • Surfactant replacement therapy • Empiric antibiotic therapy • Thermoregulation • Avoid hypoxemia and acidosis • PaO2 50-70mmHg • Optimize fluid management • Reduce metabolic demands • Minimize lung injury • CPAP • Vt 4-5ml/kg • PEEP

More Related