Doctor insights on:
Risk Of Neonatal Respiratory Distress Syndrome
Resp. distress syndr: Its caused by deficiency of surfactant that lines the airways&lung immaturity. From baby being premature vs genetic protein def. Varies in severity form baby to baby & some may require ventilatory support. Depends on gestational age from about 50% in babies born at 26–28 weeks, to about 25% at 30–31 weeks. Is more frequent in infants of diabetic mothers & in the second born of premature twins. ...Read more
Premature lung: Prematures lack surfactant which is essential to keep alveoli expanded. This results in gradual collapse of more and more alveoli, (atelectasis) making it more difficult to oxygenate the blood. This becomes hyaline membrane disease or neonatal respiratory distress syndrome. ...Read more
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Diabetes are at increased risk of developing the neonatal respiratory distress syndrome, is this true?
Lung development: It is true that high sugars can delay lung development in the developing fetus. ...Read more
Prematurity: Leads to immature lunga with inadequate surfactant, a detergent that helps keep alveoli open. High o2 concentrations can cause retrolentil fibroplasoia leading to blindness. ...Read more
RDS: We build our lungs in stages like building a house. One of the final stages is the production of a soapy material called surfactant that lines the inside of air sacs & prevents the sacs from deflating after air breathing starts.Infants that are not making enough surfactant to keep air sacs open so many will deflate leading to distress. Assistance is needed until a baby starts making more surfacta. ...Read more
Is it true that diabetes people are at increased risk of developing the neonatal respiratory distress syndrome?
Confusing wording: Infants born to diabetic mothers have a higher risk of respiratory distress. The long term higher maternal glucose levels tolerated by the fetus may impair their development of surface active agents in the lung that prevent RDS. These babies can develop RDS even if born on or after their due date. ...Read more
Delivery by cesarean section is one of the predisposing factors of neonatal respiratory distress syndrome, why? And how?
??RDS??: I would agree more cs babies have respiratory pbs than regular delivery but the issue is ttn ( transient tachypnea of the newborn) not rds.A trip down the birth canal helps squeeze some of the lung fluid out before birth, which does not happen for cs. About 10% of cs will have to work hard to clear that fluid & may require o2 & special care in the process.It usually clears in < 48hr. ...Read more
ARDS: A lung injury caused by many different conditions where the membrane separating the air space from the blood space becomes porous allowing fluid to fill up the air spaces and prevent o2 transport. The lung becomes stiff and difficult to inflate increasing the work of breathing. Most people will require a ventilator and ICU care. ...Read moreSee 1 more doctor answer
Degree of injury: Bpd is likely to occur in infants whose rds was prolonged and whose airway pressures for ventilation were high enough to produce the level of airway injury seen with bpd. The human system has a great capacity to repair itself over time & the bpd kid is the one whose lungs may show abnormalities for several years while the transient rds kid's lung is essentially normal by age 1. ...Read more
Death of...: ...Cells that produce surfactant in the lungs. Surfactant keeps the alveolar walls from sticking together, and so keeps lungs open for breathing. Once these cells die, alveoli collapse. ...Read more
Severe SOB: ARDS is severe shortness of breath caused by an insult and inflamatory response to the lungs. Its not cardiogenic and can be infectious, toxic, or autoimmmune.Some pts need to placed on a ventilator while recovering.Breathing treatments, antiobiotics, steroids as needed.The source should be sought out to target therapy. ...Read moreSee 1 more doctor answer
Yes: Generally respiratory distress following c section is because of fluid in the lungs that can take few hours to clear up , other times it really depends on the reason for the c section. If the c section is done because of fetal distress it indicates there was some problem already and c section is only incidental. ...Read more
Absolutely: There have been many studies showing excellent lung function in children who suffered from respiratory distress syndrome as premies. However, these babies may be more susceptible to long term consequences to the developing lungs of viral infections, cigarette smoke and allergens. ...Read more
Fluid in lungs: ARDS ( first called da nang lung as it was seen in the wounded in the vietnam war) is seen with many kinds of injuries to the lung either direct like pneumonia, or indirect like traumatic injury). Inflammation starting in the lung or elsewhere causes the lung to become fluid filled, stiff and leads to respiratory failure. Treatment is mechanical ventilator support and treatment underlying cause. ...Read moreSee 3 more doctor answers
Risk factor: Acute respiratory distress syndrome ARDS isform of lung failure results, inability to carry oxygen is seen in sepsis, burns, major injuries, drugs pneumonia, viral infection, and when other starts to fail. Smoking is a very important , contributory risk factor, even though smoking itself alone will not cause ards. ...Read moreSee 1 more doctor answer
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