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Transient Tachypnea of the Newborn, Pediatric

Colleen A. Hughes Driscoll, MD and Bernadette A. Hillman, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Early onset of tachypnea (respiratory rate >60 breaths/minute) in the newborn following an uneventful delivery

  • Symptoms of respiratory distress including mild retractions, expirato...

DIAGNOSIS

HISTORY

  • Tachypnea presenting within the first few hours of life

  • Presence of familial risk factors

    • Maternal diabetes

    • Maternal asthma

    • Family history of unexplained TTN

  • Birth-related risk factors

    • Peri...

TREATMENT

GENERAL MEASURES

  • Resolution of symptoms will occur in time, most often within the first 2 days of life.

  • Initial management

    • Direct observation under radiant heat (maintaining thermoregulation) f...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Admission to a special care nursery or neonatal intensive care Unit and chest radiography are indicated for the following: 
  • Symptoms persisting b...

ADDITIONAL READING

  • Abughalwa M, Taha S, Sharaf N, et al. Antibiotics therapy in classic transient tachypnea of the newborn: a necessary treatment or not? A prospective study. Neonatology Today.  ...

CODES

ICD9

770.6 Transitory tachypnea of newborn 

ICD10

P22.1 Transient tachypnea of newborn 

SNOMED

  • 7550008 Transitory tachypnea of newborn (disorder)

  • 276531000 Avery’s syndrome type 1 (disorder)

  • 276532007 ...

FAQ

  • Q: When does the tachypnea in neonates with TTN begin?

  • A: Tachypnea usually starts within 6 hours of birth.

  • Q: How long does the tachypnea generally last?

  • A: Most babies’ respiratory rates improve wi...

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