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Respiratory Distress Syndrome, Neonatal

Mary Cataletto, MD, FAAP, FCCP and Margaret J. McCormick, MS, RN, CNE Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Neonatal respiratory distress syndrome (NRDS) is a disorder primarily of prematurity manifest by respiratory distress.

  • System(s) affected: respiratory

  • Synonym(s): hyaline membrane dise...

DIAGNOSIS

HISTORY

  • Preterm neonates with worsening respiratory distress beginning at or shortly after birth and progressing over first few hours of life

  • Early interventions can modify classic course.

PHYSICAL EXAM

TREATMENT

GENERAL MEASURES

  • Supportive care:

    • Thermoneutral environment

    • Support ventilation and ensure adequate oxygenation (3)[C].

    • If no respiratory failure: early initiation of continuous positive airway ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Following discharge, infants should be followed closely by their physicians to monitor growth and respiratory symptomatology. 

DIET

As clinically indicated 

PATIENT EDUCATION

REFERENCES

1
Kochanek KD, Murphy SL, Xu J, et al. Mortality in the United States, 2013. National Center for Health Statistics Data Brief No. 178. http://www.cdc.gov/nchs/data/databriefs/db178.pdf. Acce...

ADDITIONAL READING

  • Bell EF, Acarregui M. Restricted versus liberal water intake for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev.  2014;(12):CD000503. [View A...

CODES

ICD10

P22.0 Respiratory distress syndrome of newborn 

ICD9

769 Respiratory distress syndrome in newborn 

SNOMED

46775006 Respiratory distress syndrome in the newborn (disorder) 

CLINICAL PEARLS

  • Early treatment with CPAP or pulmonary surfactant can modify clinical course.

  • Prognosis and outcome are highly dependent on gestational age.

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