Skip to main content

Respiratory Distress Syndrome, Neonatal

Tauhid Mahmud, MPH, MD and Amoreena Ranck Howell, MSPH, MD Reviewed 06/2022
 


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

  • Respiratory support (3)[C]

    • If no respiratory failure: early initiation of continuous positive airway pressure (CPAP)

    • If respiratory failure: Intubate, ventilate as needed, and...

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, 2019. National Center for Health Statistics Data Brief No. 395. http://www.cdc.gov/nchs/data/databriefs/db395-H.pdf. Ac...

ADDITIONAL READING

  • Bell  EF, Acarregui  M. Restricted versus liberal water intake for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev. ...

CODES

ICD10

P22.0 Respiratory distress syndrome of newborn 

SNOMED

46775006 Respiratory distress syndrome in the newborn (disorder) 

CLINICAL PEARLS

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

  • Early treatment with CPAP or pulmonary surfactant can modify clini...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×