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Respiratory Distress Syndrome, Pediatric

Julie M. Nogee, MD and Lawrence M. Nogee, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Respiratory distress syndrome (RDS) is an acute, developmental lung disease affecting primarily premature infants. Disease is characterized by alveolar collapse due to a lack of pulm...

DIAGNOSIS

HISTORY

  • Gestational age, birth weight

  • Lack of antenatal steroids

  • Delivery history: maternal diabetes, perinatal asphyxia, route of delivery, absence of labor, 2nd-born twin

  • Resuscitation: need f...

TREATMENT

GENERAL MEASURES

  • Diet

    • Sufficient glucose infusion to prevent hypoglycemia

    • Hydration and nutrition for expected increased caloric needs with early initiation of IV nutrition while working to est...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Very low-birth-weight and extremely low-birth-weight infants should receive follow-up in specialty clinics that can provide for their specialized needs, including...

ADDITIONAL READING

  • Committee on Fetus and Newborn, American Academy of Pediatrics. Respiratory support in preterm infants at birth. Pediatrics.  2014;133(1):171–174. [View Abstract on OvidInsight...

CODES

ICD9

769 Respiratory distress syndrome in newborn 

ICD10

P22.0 Respiratory distress syndrome of newborn 

SNOMED

46775006 Respiratory distress syndrome in the newborn (disorder) 

FAQ

  • Q: Should all babies with a diagnosis of RDS be started on antibiotics?

  • A: It is important to consider sepsis/pneumonia in all infants with a diagnosis of RDS, particularly infection with group B S...

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