Pediatric Lectures Unit Neonatology Total Lectures 06 Lecture

  • Slides: 21
Download presentation
Pediatric Lectures • Unit: Neonatology • Total Lectures: 06 • Lecture no: 2 •

Pediatric Lectures • Unit: Neonatology • Total Lectures: 06 • Lecture no: 2 • Topic: Respiratory distress of new born, birth asphyxia, MAS, TTN

Neonatology Dr. Saba Haider Tarar MBBS, MCPS, FCPS (Pakistan), MRCPCH(AKP-London) Assistant Professor of Pediatrics.

Neonatology Dr. Saba Haider Tarar MBBS, MCPS, FCPS (Pakistan), MRCPCH(AKP-London) Assistant Professor of Pediatrics.

Objective: By the end of this lecture, the students will be able to: •

Objective: By the end of this lecture, the students will be able to: • Enlist causes of respiratory distress in a neonate • Identify signs and symptoms of respiratory illness • Outline a working management plan

Respiratory distress of new born Definition: • Respiratory rate > 60 cycles per second

Respiratory distress of new born Definition: • Respiratory rate > 60 cycles per second with chest indrawing

Respiratory distress Syndrome (RDS) • • Definition: Preterm neonate presenting with Tachypnea (R. R

Respiratory distress Syndrome (RDS) • • Definition: Preterm neonate presenting with Tachypnea (R. R > 60/ minute) Chest retractions Cyanosis CXR with reticulo-granular pattern and air bronchograms

Incidence and risk factors • • 25 %of all neonates less than 32 weeks

Incidence and risk factors • • 25 %of all neonates less than 32 weeks 20 % of all neonatal deaths Risk factors are Prematurity, male gender, Chorio-amniotis, IDM, birth asphyxia, LSCS and twin pregnancy , hypothermia

Differential diagnosis • • Congenital Pneumonia Aspiration Pneumonia Meconium Aspiartion Pnuemothorax Diaphragmatic hernia Cardiac

Differential diagnosis • • Congenital Pneumonia Aspiration Pneumonia Meconium Aspiartion Pnuemothorax Diaphragmatic hernia Cardiac failure CHD TTN

Investigations: • • Pulse Ox ABGs CXR ECG Hyperoxia test Baseline (CBC, BSR, Sr.

Investigations: • • Pulse Ox ABGs CXR ECG Hyperoxia test Baseline (CBC, BSR, Sr. Calcium) Septic Screening

Management: • • Supportive: Oxygen Thermo-neutral environment Prevent hypoglycemia Minimal handling Intake output record

Management: • • Supportive: Oxygen Thermo-neutral environment Prevent hypoglycemia Minimal handling Intake output record Treat metabolic acidosis

Specific Management: • • • Warm humidified oxygen CPAP IPPV Surfactant Complications include: IVH,

Specific Management: • • • Warm humidified oxygen CPAP IPPV Surfactant Complications include: IVH, pneumothorax, pneumonia

Birth Asphyxia • Sudden hypoxia at birth due to failure of initiation of normal

Birth Asphyxia • Sudden hypoxia at birth due to failure of initiation of normal breathing • 3. 3% incidence

Management Mainly supportive ABC Maintain temperature Monitor vitals I/T, O/P monitoring Treat hypoglycemia, hypovolemia,

Management Mainly supportive ABC Maintain temperature Monitor vitals I/T, O/P monitoring Treat hypoglycemia, hypovolemia, seizures, metabolic acidosis, infections • Selective head cooling • • •

Pediatric Lectures Unit Neonatology Total Lectures 06 LecturePediatric Lectures Unit Neonatology Total Lectures 06 Lecture
AN INTRODUCTION TO THE NEONATOLOGY Neonatology is aAN INTRODUCTION TO THE NEONATOLOGY Neonatology is a
Pediatric Lectures Unit Cardiovascular system Total Lectures 05Pediatric Lectures Unit Cardiovascular system Total Lectures 05
Pediatrics Neonatology and Pediatric Surgery October 11 12Pediatrics Neonatology and Pediatric Surgery October 11 12
Total Station Surveying Total Station The total stationTotal Station Surveying Total Station The total station
TOTAL PROTECTION TOTAL CONFIDENCE Owens Corning Total ProtectionTOTAL PROTECTION TOTAL CONFIDENCE Owens Corning Total Protection
Total Quality Management Definition Total Quality Management TotalTotal Quality Management Definition Total Quality Management Total
ROI 378 ROI Total Benefits Total Cost TotalROI 378 ROI Total Benefits Total Cost Total
Total Ground Quin es Total Ground TOTAL GROUNDTotal Ground Quin es Total Ground TOTAL GROUND
Total Gender Female Male Total Female Male TotalTotal Gender Female Male Total Female Male Total
Neonatology The State of the Unit Melinda JNeonatology The State of the Unit Melinda J
Unit II Unit II Total Marks 13 TotalUnit II Unit II Total Marks 13 Total
Neonatology By Assist Prof Dr Amin Turki EvaluationNeonatology By Assist Prof Dr Amin Turki Evaluation
Medical Internship Summary Jane Smith Neonatology Research DrMedical Internship Summary Jane Smith Neonatology Research Dr
Prenatal Diagnostic Sonography Abend Weinger Marta MD NeonatologyPrenatal Diagnostic Sonography Abend Weinger Marta MD Neonatology
Prematurity Neonatology SIDS Jay Green Emergency Medicine ResidentPrematurity Neonatology SIDS Jay Green Emergency Medicine Resident
Neonatology HypoxicIschemic Encephalopathy HIE Main Contents l lNeonatology HypoxicIschemic Encephalopathy HIE Main Contents l l
National Clinical Programme for Paediatrics and Neonatology EmergencyNational Clinical Programme for Paediatrics and Neonatology Emergency
Breast feeding Neonatology Feeding What are the advantagesBreast feeding Neonatology Feeding What are the advantages
N Frewan PL 2 Neonatology Division July 2008N Frewan PL 2 Neonatology Division July 2008