Acute respiratory distress and bronchogenic cyst in new-born infants

1968 ◽  
Vol 3 (5) ◽  
pp. 625
Author(s):  
M. Bettex
PEDIATRICS ◽  
1962 ◽  
Vol 30 (6) ◽  
pp. 975-989
Author(s):  
N. M. Nelson ◽  
L. S. Prod'hom ◽  
R. B. Cherry ◽  
P. J. Lipsitz ◽  
C. A. Smith

The arterial-alveolar tension gradient for CO2 has been investigated in 17 normal new born infants and in 15 with some degree of respiratory distress. Whereas the normal infants had virtually no Pco2 gradient from pulmonary capillary to alveolus, an average difference of 13.9 mm Hg was detected in sick infants. This gradient for Pco2 is caused by increased alveolar (and total physiological dead space, the relative amount of which closely parallels the clinical course of the disease. The data obtained indicate the increase in alveolar dead space to be largely due to poor perfusion of ventilated alveoli. In severely ill infants more than 60% of ventilated alveoli appear to be under-perfused.


Author(s):  
Omatseye A. Akuirene ◽  
Samuel D. Nwajei ◽  
Josiah O. Adjene ◽  
John E. Moyegbone ◽  
Ezekiel U. Nwose

Epidemiology can be said to be the branch of medicine that deals with the incidence, distribution, and also possible control of diseases and other factors relating to health. Thus, epidemiology includes controlled clinical evaluations of different treatment methods; comparative assessment of lifestyle factors, such as smoking, drugs, and drinking habits; estimations of the risks of occupational factors; and cross-sectional and time-series analyses of factors that may affect health. To identify epidemiology of respiratory distress in pregnancy and new born. 34 international publications on respiratory distress disease in pregnancy and new born were reviewed for the presentation of this article. Respiratory distress syndrome (RDS) is a frequent newborn morbidity worldwide with reported prevalence of 18.5% in France, 4.24% in Pakistan and 20.5% in China. 20% of all global maternal deaths happen in Nigeria. Total number of maternal deaths in 2015 in the 46 most developed countries was 1700, resulting in a maternal mortality ratio of 12 maternal deaths per 100,000 live births. Given the state of the economy in the low and middle-income countries, Nigeria, like most of the other countries lack the resources (material, manpower and financial) require for optimal newborn care services. Newborn respiratory distress affects almost half of newborns. It is a major cause of neonatal admissions and has a high mortality rate. Many of its significant risk factors and etiologies are preventable. Adequate follow-up of pregnant women and during labor are of great necessity for early detection of risk factors and timely intervention in order to prevent the occurrence of neonatal respiratory distress.


2019 ◽  
Vol 6 (2) ◽  
pp. 454
Author(s):  
C. P. V. Ramana Sastry ◽  
Maram Padmavathi

Background: The aim is to study the various risk factors associated with development of severe respiratory distress in the new born.Methods: This was a prospective study of 200 new-borns with respiratory distress. Clinical details, etiology for the respiratory distress, system-wise factors responsible for the distress, severity and duration of respiratory distress, oxygen therapy, type of treatment, mortality, maternal and antenatal risk factors, radiological findings were noted in all the cases and were analysed.Results: Of the 200 cases with respiratory distress, 118 (59%) had severe respiratory distress. 154 cases with distress were of respiratory system in origin out of which 45% (70 out of 154) were due to Meconium aspiration syndrome, 42% (64 out of 154) were due to Respiratory distress syndrome, 12% (18 out of 154) were due to transient tachypnea of new-born and 2% were due to congenital pneumonia. More number of female patients had severe respiratory distress. Mortality was 2.5%.Conclusions: Meconium aspiration syndrome is the most common cause of respiratory distress in new born. Almost 60% of new borns with respiratory distress developed severe respiratory distress who required intensive monitoring. Risk factors like meconium stained liquor, vaginal delivered new borns, preterm gestation age, and female gender of new born were associated with severe respiratory distress in new borns.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Penelope Thaller ◽  
Catherine Blanchet ◽  
Maliha Badr ◽  
Renaud Mesnage ◽  
Nicolas Leboucq ◽  
...  

Author(s):  
Nagarjuna Naik ◽  
Anil Kumar Chaudhary ◽  
Raghu Nandan Chaudhary ◽  
Rakesh Ranjan

Background: Respiratory distress in neonates is the most common cause of admission to NICU in a tertiary care hospital. Identification of risk factors associated with development of severe distress and early diagnosis of cause is very important in the management of neonatal distress. Methods: 110 consecutive born neonates with RD were studied and assessed for development of severe distress against onset, duration, oxygen requirement and outcome in terms of final diagnosis, mortality and treatment. Serial chest X- rays were done at 1 hour and 6 hours of onset of distress. Results: BA (41%) was the commonest cause. Development of severe distress was more when onset is at 6 hours after birth (77%), duration persists more than 24 hours (65.5%)  Ventilation was done in 26 cases and there was17% mortality. Conclusions: Birth Asphyxia is the most common cause of respiratory distress in new-born. Almost 48% of new-born with respiratory distress develop severe respiratory distress which require intensive monitoring. Risk factors like high maternal age, primi-gravida mothers, more than 4 per vaginal examinations, meconium stained liquor, cesarean delivered new-borns, Small for gestation age, and 1 min Apgar score less than 7, birth weight less than 2.5Kg and male sex of new-born were associated with severe respiratory distress in new-borns. Keywords: Respiratory distress, New-born, Risk factors, Chest x rays, Oxygen requirement


2016 ◽  
Vol 4 (1) ◽  
pp. 210
Author(s):  
Gavara Chinna Rao ◽  
Marpi Surya Prasada Rao

Background: Respiratory distress in neonates is one of the important clinical manifestations of a variety of disorders of the respiratory system and non-respiratory disorders. It has been estimated that 40-50% of all the perinatal deaths occur following respiratory distress. The objective of this study was to estimate the proportion of respiratory distress in the new-born period. And know the etiological factors of respiratory distress in first day of life and to study the first day of life morbidity and mortality of respiratory distress in NICU.Methods: All newborn babies admitted to King George Hospital NICU during a period of 1 year from July 2014 to July 2015 who developed respiratory distress in first day of life were studied.Results: The present study is descriptive in nature where clinical spectrum of respiratory distress in neonates and its outcome were studied. 1500 Neonates were admitted in NICU during the study period, among them 200(13.3%) Developed respiratory distress in first day of life. In the overall study 97.5% Survived with 5 deaths. 3 Deaths were due to preterm with RDS, 2 due to CDH. Most of the deaths were due to RDS.Conclusions: MAS was the main cause of respiratory distress followed by RDS in first day of life. Immediate clinical outcome of new-born respiratory distress in term of mortality rate is variable. 


1978 ◽  
Vol 86 (5) ◽  
pp. ORL-755-ORL-757
Author(s):  
Marshall Strome

The otolaryngologist has a reference frame for congenital stridor that rarely includes diagnosis of a bronchogenic cyst. The life-threatening potential of this lesion makes consideration and recognition imperative. Representing less than 5% of the mediastinal childhood masses in the infant, respiratory distress most often initiates diagnostic studies leading to identification and extirpation. The case presentation highlights the clinical course. The diagnostic hallmark of this case was the delayed onset of stridor with subsequent progression. Thereafter, a chest film and barium swallow suggested the diagnosis. In newborns, however, such cysts may not be evident on routine chest films and, nonetheless, cause significant respiratory distress from airway compression. Surgical extirpation should be affected as soon as possible after the diagnosis is entertained in order to insure against a sudden respiratory death.


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