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Respiratory Distress Syndrome, Neonatal

Reviewed 06/2018
 


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 airwa...

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 ...

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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