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Doctor insights on: How Does Ecmo Work To Fix Hyaline Membrane Disease

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How does ecmo work to fix hyaline membrane disease?

How does ecmo work to fix hyaline membrane disease?

Lung 'rest': Hyaline membrane disease (hmd) or neonatal respiratory distress syndrome (rds) is usually a disease of premature babies which may limit the feasibility of ecmo (extracorporeal membrane oxygenation) in certain patients. But, if the child is a candidate for and receives ecmo, the lungs are given a period of time to recover while the machine provides oxygen to and clears carbon dioxide from the body. ...Read more

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Dr. Clara Song
599 doctors shared insights

Extracorporeal Membrane Oxygenation (Definition)

Extracorporeal membrane oxygenation (ECMO) is a procedure for getting oxygen into the blood ...Read more


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Which tests diagnose hyaline membrane disease?

Which tests diagnose hyaline membrane disease?

Chest xrays: Hyaline membrane disease or "respiratory distress syndrome" is a condition usually affecting children who are born before term. Lack of a lung chemical called surfactant causes it. It has a typical look on chest xray, so nursery and radiology doctors usually make the dianosis by the xray and the prematurity of the child. It is also possible to do special tests to measure surfactant in the lungs. ...Read more

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What tests for diagnosis of hyaline membrane disease?

What tests for diagnosis of hyaline membrane disease?

Dx based on pattern: This is conidered a pattern illness.The name hmd came from the hyaline membrane found on microscopic examination of lung tissue from infants with this illness.The DX is considered if a pattern of xray, oxygen need & prematurity make it likely. Antibiotics are often started just in case a pneumonia is acting like hmd. You often know more after you finish rx, not treating can result in disaster. ...Read more

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What is hyaline membrane disease?

What is hyaline membrane disease?

Premature lungs: Hyaline membrane disease is also called infant respiratory distress syndrome. It is caused by immaturity of the lungs of premature infants due to lack of a chemical called surfactant that the lungs produce only later in gestation. It's absence causes the lungs to fill with fluid and collapse. Surfactant can now be given (and is often given) to babies suffering from this with significant results. ...Read more

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How do they know it is hyaline membrane disease vs. Some other kind of breathing disorder?

How do they know it is hyaline membrane disease vs. Some other kind of breathing disorder?

Clinical acumen: Making a diagnosis is one of the most important things that physicians do. With respect to hmd (hyalin membrane disease), there are certain factors that help the clinician make a diagnosis (or exclude others): situational awareness regarding birth history and risk factors like prematurity, examination findings, laboratory and chest xray findings. At times, this can be difficult, but often not. ...Read more

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How many confirmed cases of hyaline membrane disease hmd have there been since surfactant has been used?

HMD or RDS : Surfactant is used to treat or prevent rds or in older terminology hmd. Surfactant reverses the surfactant deficient state, but does not instantly "cure" rds but permits the use of less use of the ventilator and supplementation oxygen. Surfactant use reduces pulmonary airleaks and reduces mortality in multiple randomized controlled clinical trials. ...Read more

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Is there any way to prevent hyaline membrane disease in your child?

Good prenatal carel : Hyaline membrane disease is a condition associated with lack of a chemical in the lungs called surfactant. It is usually a problem of prematurity. The best way to deal with this is to get prenatal care from as early as possible in the pregnancy. The doctors can help prevent prematurity or treat the lungs with surfactant medicine if the baby does come early. ...Read more

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What laboratory tests are used for diagnosis of hyaline membrane disease?

What laboratory tests are used for diagnosis of hyaline membrane disease?

Dx based on pattern: This is conidered a pattern illness.The name hmd came from the hyaline membrane found on microscopic examination of lung tissue from infants with this illness.The DX is considered if a pattern of xray, oxygen need & prematurity make it likely. Antibiotics are often started just in case a pneumonia is acting like hmd. You often know more after you finish rx, not treating can result in disaster ...Read more

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What laboratory tests are used for diagnosis of hyaline membrane disease?

What laboratory tests are used for diagnosis of hyaline membrane disease?

Dx based on pattern: This is conidered a pattern illness.The name hmd came from the hyaline membrane found on microscopic examination of lung tissue from infants with this illness.The DX is considered if a pattern of xray, oxygen need & prematurity make it likely. Antibiotics are often started just in case a pneumonia is acting like hmd. You often know more after you finish rx, not treating can result in disaster. ...Read more

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Liver biopsy: PAS:Glycogenated hepatocytes PAS w diastase: no hyaline globules No stainable iron Does this rule out fatty liver or liver disease?

Liver biopsy:
PAS:Glycogenated hepatocytes 
PAS w diastase: no hyaline globules
No stainable iron
Does this rule out fatty liver or liver disease?

Not all diseases: It rules deposition of iron and carbohydrates. The description does not mention fat. At times biopsy may not contain lesions present elsewhere in the organ. It would be prudent to discuss it with your doctor and better yet with your doctor and the pathologist who reviewed the biopsy. ...Read more