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RespiratoryDistress
inNewborns
Dr.AllenCherer
Respiratorydistresssyndrome,orRDS,isa
commonlungcomplaintforinfants.Thisis
especiallytrueinprematurebabies,bornbefore37
weeks.Themoreprematurethebaby,thegreater
thechancethechildwilldevelopRDS.
RDSiscausedbyashortageof
pulmonarysurfactant.Surfactantisa
liquidthathelpskeepairsacsinthe
lungs,knownasalveoli,open.
Alveoliarecritical.Theyarethesiteof
theexchangeofoxygenandcarbon
dioxide.
Thereareseveralriskfactorsfor
RDS.Inadditiontoprematurity,
babieswithRDSaremorelikelyto
bewhite,male,andmultiples.
Motherswithdiabetesaremore
likelytogivebirthtoRDSbabies.
Babiesdeliveredbyc-sectionare
alsomorelikelytodevelopthis
problem.
BabieswithRDStendtoexhibitseveralcommonsymptoms:
Theymaybreathefast,grunt,ormakean"ugh"soundwith
eachbreath.Theirnostrilstypicallyflarewitheachbreath.
Finally,theymayhaveretractions,wheretheskinpullsunder
theribcageorinbetweenribswitheachbreath.Theirskin
maynotbeaspinkasthatofatypicalbaby.
Luckily,therearetreatmentoptionsforRDS.Deliveryof
oxygenbynasalcannulaisonetreatment.Acontinuous
positiveairwaypressure,machine(CPAP)canbeusedtopush
airintoaninfant’slungs;thiswillkeepthealveoliopen.Severe
casesofRDScanrequireaventilator,whichentailsintubation.
Surfactantcanbedelivereddirectlytothelungs,alsovia
intubation.Medicationstocalmtheinfantarealsoused,
especiallywhenintubationisrequired.

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