scholarly journals Transient tachypnoea of the newborn (TTN) requiring mechanical ventilation - case report & review of literature

Pulse ◽  
1970 ◽  
Vol 3 (1) ◽  
pp. 23-24
Author(s):  
ASM Iqbal ◽  
LN Begum
Keyword(s):  
Mechanical Ventilation ◽  
Case Report ◽  
Respiratory Distress ◽  
Newborn Infants ◽  
Review Of Literature ◽  
Limited Disease ◽  
Preterm Baby ◽  
Oxygen Supplement

Transient tachypnea of the newborn (TTN) is usually a benign and self-limited disease of the newborns and the prognosis is generally excellent. It is believed to be resulting from incomplete resorption of fluid from the lungs of the newborn. Infants present with respiratory distress, requiring oxygen supplement for 2-3 days. However some infants with severe symptoms and hypoxaemia may need prolonged oxygen supplement and sometimes mechanical ventilation. Here we present a borderline preterm baby with TTN, who required mechanical ventilation.DOI: 10.3329/pulse.v3i1.6549Pulse Vol.3(1) July 2009 p23-24

Scleroma of the lower respiratory tract: case report and review of literature

1994 ◽  
Vol 108 (2) ◽  
pp. 161-163 ◽  
Author(s):  
J. M. Alfaro-Monge ◽  
J. Fernandez-Espinosa ◽  
A. Soda-Merhy
Keyword(s):  
Case Report ◽  
Respiratory Tract ◽  
Respiratory Distress ◽  
Endoscopic Resection ◽  
Lower Respiratory Tract ◽  
Review Of Literature

AbstractThe case of a 46-year-old man who presented with acute respiratory distress due to a tracheal mass is reported. The patient underwent endoscopic resection of the mass and the histopathology revealed scleroma. No other sites of involvement by scleroma were found. This case is reported because laryngotracheal involvement by scleroma as the only manifestation of this disease is extremely rare.

Lost in Transition: Is Early Respiratory Support in Newborn Infants the Best Option?

Neonatology ◽  
2020 ◽  
Vol 117 (4) ◽  
pp. 517-521
Author(s):  
Adam Buckmaster ◽  
Gaston Arnolda ◽  
Louise Owen ◽  
Calum Roberts ◽  
Peter Davis ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Distress ◽  
Treatment Failure ◽  
Newborn Infants ◽  
Supplemental Oxygen ◽  
Late Preterm ◽  
Respiratory Support ◽  
Severe Illness ◽  
Intravenous Fluids ◽  
Using Data

<b><i>Background:</i></b> Late preterm and term newborns with respiratory distress are increasingly treated with non-invasive ventilation (NIV) including nasal high-flow or continuous positive airway pressure. For infants with mild distress, NIV may be unnecessary. <b><i>Objectives:</i></b> We speculated that treatment with supplemental oxygen (SO) prior to NIV could help clinicians select infants for NIV treatment, and examined this hypothesis using data from a recently completed trial. <b><i>Method:</i></b> Post hoc analysis of data from a subset of infants enrolled in the HUNTER trial. Infants born at ≥36 weeks’ gestation were categorized by whether they were receiving SO prior to randomization. The 2 groups were compared for illness severity (indicated by treatment failure at 72 h, mechanical ventilation, need for up-transfer, SO requirement post-randomization, and length of time receiving respiratory support), use of selected medical interventions (antibiotics, intravenous fluids), and breastfeeding at discharge. <b><i>Results:</i></b> Analysis included 380 infants. Infants not receiving SO had less severe illness; lower rates of treatment failure (7.3 vs. 17.2%), mechanical ventilation (0.6 vs. 5.9%), need for transfer (6.8 vs. 13.8%), and more often did not receive any SO post-randomization (75.1 vs. 3.0%). Most infants in both groups received intravenous fluids (93 and 98%) and antibiotics (81 and 93%); the rate of full breastfeeding was low in both groups (51 and 45%). <b><i>Conclusions:</i></b> Late preterm and term newborn infants without SO requirement at the time of commencing NIV for respiratory distress are at lower risk of requiring treatment escalation. Close observation of these infants (watch and wait strategy) may avoid unnecessary treatment.

scholarly journals Achondroplasia: Case Report and Review of Literature

1970 ◽  
Vol 31 (3) ◽  
pp. 224-226
Author(s):  
GS Shah ◽  
MK Shrivastava ◽  
D Shah ◽  
N Gupta
Keyword(s):  
Case Report ◽  
Respiratory Distress ◽  
Rare Case ◽  
Severe Pneumonia ◽  
Health Sciences ◽  
Male Child ◽  
Review Of Literature ◽  
Lower Segment ◽  
Paediatric Ward ◽  
History Of

A two month old male child presented to emergency of B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan and was admitted to Paediatric ward with history of fever, cough and respiratory distress. On examination the breathing was rapid and shallow. The child was small for age with an upper to lower segment ratio of 1.9. The anteroposterior diameter of thorax was reduced. We report a very rare case of achondroplasia which was recognized in a two month age child who presented with severe pneumonia. Usually the clinically features of achondroplasia is more prominent when the child is growing in height but we diagnosed it in a two months child after performing the skeletal survey.   DOI: http://dx.doi.org/10.3126/jnps.v31i3.5363 J Nep Paedtr Soc 2011;31(3): 216-224-226  

Nanomembrane-Based Therapeutic Plasmapheresis after Non-Invasive Ventilation Failure for Treatment of a Patient with Acute Respiratory Distress Syndrome and Myasthenia Gravis: A Case Report

2019 ◽  
Vol 48 (4) ◽  
pp. 382-384 ◽  
Author(s):  
Yordanka Yamakova ◽  
Viktoria Asenova Ilieva ◽  
Rosen Petkov ◽  
Georgi Yankov
Keyword(s):  
Mechanical Ventilation ◽  
Acute Respiratory Distress Syndrome ◽  
Case Report ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Myasthenia Gravis ◽  
Distress Syndrome ◽  
Invasive Mechanical Ventilation ◽  
Bioactive Molecules ◽  
Non Invasive

Acute respiratory distress syndrome (ARDS) is characterized by a widespread inflammation of the lungs, causing severe hypoxemia. Several mediators have been associated with it and almost all of them are small enough to be filtrated through a nanomembrane. We present a case report of a 41-year-old man with myasthenia gravis in remission; he developed ARDS caused by pneumonia. Although he performed well on both non-invasive and invasive mechanical ventilation, his oxygenation continued to deteriorate. As a last resort of treatment, we decided to apply nanomembrane-based apheresis to cleanse his plasma from the harmful inflammatory mediators. After 3 sessions of plasmapheresis, his condition improved and he was successfully weaned from mechanical ventilation. The obtained results gave us ground to assume that the removal of bioactive molecules can be a useful adjunct to protective mechanical ventilation in ARDS.

scholarly journals Complicated COVID-19 pneumonia in an infant: A rare entity

2021 ◽  
pp. 333-335
Author(s):  
Padmaja Biradar ◽  
Sushma Save ◽  
Murtuja Shaikh
Keyword(s):  
Mechanical Ventilation ◽  
Case Report ◽  
Respiratory Distress ◽  
Bacterial Infection ◽  
Oxygen Therapy ◽  
Severe Disease ◽  
Severe Pneumonia ◽  
Rare Entity ◽  
Intravenous Antibiotics ◽  
Sensitivity Report

In the era of the COVID-19 pandemic, children are spared from severe disease, accounting for 0.39–12.3%. According to a study in Wuhan China, only 2.7% of children are developed severe pneumonia. There are few cases reported with COVID-19 pneumonia in infants. We report the case of a 45-day-old infant who presented with respiratory distress with COVID-19 pneumonia required mechanical ventilation with an intercostal drainage tube for pyopneumothorax. The child was treated with intravenous antibiotics with supportive oxygen therapy. The fluid report of the pyopneumothorax was showing MRSA growth, so antibiotics were modified according to the sensitivity report. In this case report, COVID-19 pneumonia presented with complications in the form of pyopneumothorax with secondary bacterial infection and was successfully treated with a vigilant approach.

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