Respiratory distress: is often accompanied by a grunting sound which is the body's way of providing positive end expiratory pressure, a dynamic that can help with air exchange. As the glottis closes early, producing the grunting sound, the lungs are held open longer to allow for better air exchange. A therapeutic maneuver used to accomplish the same thing is to provide positive end expiratory pressure mechanically, helping to reduce the effort required for the infant to maintain proper air exchange.
Answered 12/31/2016
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