A late preterm infant with progressive respiratory distress | Zendy

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A late preterm infant with progressive respiratory distress

Author(s) -

Seçil Erçin,

Petek Kayıran,

Tuğba Gürsoy

Publication year - 2017

Publication title -

marmara medical journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 11

ISSN - 1019-1941

DOI - 10.5472/marumj.306018

Subject(s) - medicine , respiratory distress , continuous positive airway pressure , bradycardia , anesthesia , neonatal intensive care unit , intubation , gestational age , neonatal respiratory distress syndrome , positive airway pressure , ventilation (architecture) , caesarean section , heart rate , pediatrics , pregnancy , blood pressure , mechanical engineering , engineering , biology , obstructive sleep apnea , genetics

A 2300 g female baby was born at 36+4 gestational age via caesarean section. Prenatal history was unremarkable. At 2 hours of age the baby was transferred to neonatal intensive care unit due to progressive respiratory distress and received poractant alfa as intubation-surfactant-extubation therapy after which FiO2 requirement decreased from 0.50 to 0.25. At 34 hours of age, while she was still on nasal continuous positive airway pressure (CPAP), she had sudden deterioration with retractions, desaturation and bradycardia. The infant was immediately intubated and put on high frequency oscillatory ventilation (HFOV) after which her oxygen saturations and heart rate stabilized.

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