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    Alfredo Valdez

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    fernchad
    This document discusses transient tachypnea of the newborn (TTN). TTN is a self-limiting condition present at birth or within two hours involving rapid breathing, cyanosis, and increased work of breathing. It results from delayed resorption of fluid in the lungs after birth. Risk factors include prematurity, C-section delivery, being small for gestational age, and maternal asthma. The diagnosis is made by excluding other conditions. Treatment is supportive with oxygen and CPAP if needed. Feeding may need to be via tube if breathing is very rapid. TTN usually resolves within 12-24 hours without long term effects, though there is an association between TTN and later childhood asthma.

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    Alfredo Valdez

    Uploaded by

    fernchad
    5 views11 pages
    This document discusses transient tachypnea of the newborn (TTN). TTN is a self-limiting condition present at birth or within two hours involving rapid breathing, cyanosis, and increased work of breathing. It results from delayed resorption of fluid in the lungs after birth. Risk factors include prematurity, C-section delivery, being small for gestational age, and maternal asthma. The diagnosis is made by excluding other conditions. Treatment is supportive with oxygen and CPAP if needed. Feeding may need to be via tube if breathing is very rapid. TTN usually resolves within 12-24 hours without long term effects, though there is an association between TTN and later childhood asthma.

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    TTN

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    TTN

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    This document discusses transient tachypnea of the newborn (TTN). TTN is a self-limiting condition present at birth or within two hours involving rapid breathing, cyanosis, and increased work of breathing. It results from delayed resorption of fluid in the lungs after birth. Risk factors include prematurity, C-section delivery, being small for gestational age, and maternal asthma. The diagnosis is made by excluding other conditions. Treatment is supportive with oxygen and CPAP if needed. Feeding may need to be via tube if breathing is very rapid. TTN usually resolves within 12-24 hours without long term effects, though there is an association between TTN and later childhood asthma.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views11 pages

    Alfredo Valdez

    Uploaded by

    fernchad
    This document discusses transient tachypnea of the newborn (TTN). TTN is a self-limiting condition present at birth or within two hours involving rapid breathing, cyanosis, and increased work of breathing. It results from delayed resorption of fluid in the lungs after birth. Risk factors include prematurity, C-section delivery, being small for gestational age, and maternal asthma. The diagnosis is made by excluding other conditions. Treatment is supportive with oxygen and CPAP if needed. Feeding may need to be via tube if breathing is very rapid. TTN usually resolves within 12-24 hours without long term effects, though there is an association between TTN and later childhood asthma.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 11

    TTN

    Alfredo Valdez
    Changes needed the for
    proper lung function
    Fluid clearance

    Start of spontaneous
    breathing

    Decrease in PR

    Release of surfactant

    Decrease of R > L shunt


    Alveolar content

    Aquaporin**
    Risk Factors
    5.7 per 1000 births

    Preterm (coexistent factors)

    C-section

    IDM

    Maternal asthma
    Presentation
    At birth and within t wo hours after delivery.

    Tachypnea (RR greater than 60 breaths per minute)

    Cyanosis

    Increased work of breathing: nasal flaring, intercostal and


    subcostal retractions, and expiratory grunting.

    Anterior-posterior diameter of the chest may be increased.

    Breath sounds: are clear, without rales or rhonchi.

    Infants are symptomatic for 12 to 24 hours (TRANSIENT)


    * Perihiliar marking

    Fluid in fisures

    Hyperinflation
    Diagnosis
    EXCLUDE!!
    Manegement
    TTN is a benign, self-limited condition: supportive.

    Supplemental oxygen: hood or nasal cannula (oxygen saturation > 90%)


    If the required supplemental oxygen concentration is greater, infant has increased
    work of breathing as well as tachypnea: continuous positive air way pressure
    (nCPAP).

    Respiratory rates greater than 60 to 80: oral feeding not posible (orogastric tube
    feeding or intravenous fluids)

    Furosemide ?

    Racemic epinephrine ?

    Corticosteroids ?

    Beta agonists ?
    Asthma and TTN

    Mother with Asthma: Baby TTN

    Children TTN ==> Asthma

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