Professional Documents
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Respiratory
M.Disorders
Khashaba, MD
Professor of Pediatrics
Mansoura University
Introduction
Birth involves changing from the
intrauterine state where the placenta is
the primary organ of respiration, to life
outside the uterus where the lung is
the organ of gas exchange.
• + cyanosis
•Risk factors:
Cesarean section Male sex
Macrosomia Excessive maternal sedation
Prolonged labor Low Apgar score (<7 at 1 min)
Radiologic studies:
Chest X-ray: Perihilar streaking, mild
cardiomegaly,
increased lung volume and fluid in the minor
fissure, and perhaps fluid in the pleural space
Assisted ventilation.
• Outcome
A-Prenatal management:
– Identification of high-risk pregnancy.
– Monitoring of fetal heart rate during labor.
B-Delivery room management: (if amniotic fluid is
meconium stained)
– Suction of the oropharynx.
– Visualization of vocal cords & tracheal suction
before bagging.
– General management.
– Respiratory management.
– Cardiovascular management.
* Antibiotic coverage.
* Oxygenation (maintain high saturation
>95%)
* Assisted ventilation (avoid hypercarbia and
respiratory acidosis).
– Ventilatory support .
– Meconium Aspiration Syndrome.
– Vigorous resuscitation.
General: Oxygenation
Prevention: Judicious use of ventilatory
support.
•Chest X-ray
•.Blood gases.
•Bacterial cultures
•Definition
Cessation of respiration accompanied by
bradycardia and/or cyanosis for more than
20 seconds.
• Incidence
.1سليم العقيدة
.2صحيح العبادة
.3قيم الخلق
.4مثقف الفكر
.5حريص على وقته
M.Khashaba,MD professor of Pediatrics,Mansoura
صفــــــاتالـطالــــب
.1منظم فى شئونه
.2نافع لغيره
.3صحيح البدن
.4قادر على الكسب
.5باراً بأهله
M.Khashaba,MD professor of Pediatrics,Mansoura