A 3-day-old newborn of 30 weeks’ gestation is experiencing b…
A 3-day-old newborn of 30 weeks’ gestation is experiencing brief periods of apnea, which result in bradycardia and cyanosis; most self-resolve. The infant is on continuous positive airway pressure (CPAP) at 6 cm H2O with FiO 2 of 21% for RDS and has never been intubated. The infant is otherwise well appearing without any concerning signs of infection. Temperature is stable. Caffeine therapy is recommended. The parents are curious regarding side effects of caffeine therapy. Which of the following would you include?
Read DetailsA 4-day-old infant, born at 27 weeks of gestational age, dev…
A 4-day-old infant, born at 27 weeks of gestational age, develops recurrent symptoms of RDS. The infant had been removed from mechanical ventilation and extubated at day 3 and was receiving NCPAP with an FIO2 of 0.4 when lung function acutely worsened. CXR shows a widespread, diffuse granular pattern, and analysis of arterial blood samples from the umbilical line demonstrates that oxygen saturation is refractory to increases in FIO2. The most likely cause for these recurrent symptoms of RDS is:
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