What is Respiratory Distress Syndrome (RDS) in newborns? - Dr. V Prakash of Cloudnine Hospitals скачать в хорошем качестве

What is Respiratory Distress Syndrome (RDS) in newborns? - Dr. V Prakash of Cloudnine Hospitals

📞 +91 99728 99728 (Online & in-person appointment can be booked online or by call) 📧 [email protected] https://www.cloudninecare.com/city/ch... RDS is a respiratory distress syndrome in a newborn. What does this RDS mean? Respiratory distress syndrome for a layman is a lung immaturity. What do you mean by immaturity of the ling. the baby doesn’t have a protein called as a surfactant to prevent the collapsing of the lung. By means of lung, there are small multiple millions of alveoli, the terminal most part of the lungs is called as alveoli, through which exchange happens and inside this alveoli is coated by the surfactant, which prevents the collapsing of the lungs. So what happens if it gets collapsed. The oxygen exchange from the alveoli to the blood doesn’t happen and the baby’s oxygen level is not maintained, The baby breathes fast, faster and faster to keep it open and the baby makes noise to keep the alveoli open. Any baby born before 38 weeks and 6 days have a higher chance of RDS. More so if the babies are less than 34 weeks of gestation. How do you treat? When the baby breathes, in the labour ward itself, we give some mechanism called as Continuous Positive Airway Pressure. This keeps the alveoli from collapsing we give positive pressure during inspiration and expiration. During inspiration, the lung expands and during expiration, the lung collapses. This pressure is given both during inspiration and expiration, the baby breathes by themselves. Through the nose, we give these pressures from outside to keep the alveoli patent. Majority of the babies, about 60% of the babies do well by CPAP. Remaining 40% babies require surfactant from outside Since the surfactant is deficient we give surfactant Form outside into the lungs into the lungs, through the tube , we inject thee surfactant into the lungs so that it spreads throughout the lugs so that the lugs are not getting collapsed during expiration and the baby will require some duration of support, either through CPAP or an external machine called as ventilator which takes complete control of the respiration of the baby, even though it is quite common, it is a very treatable disease and the baby will not have quite a problem, it is a very treatable disease and the baby will not have a long term problem by giving this surfactant and once they are out of this ventilator or the CPAP, once the respiratory distress settles, it doesn’t recur. It is a transient process that requires immediate attention immediate care and an immediate treatment at the time of delivery, Just within half an hour it had to be treated. How to diagnose RDS. X-ray give us a clear indication how the lungs are expanded, and the oxygen , how much the oxygen requirement is for the baby. If the oxygen requirement goes more than 35%, it I some of the indications to say that the baby requires a surfactant. The lungs shows a lesser volume or certain reticiulonodular pattern being there or certain patches and black areas being there around the lungs or it is white or ground glass appearance or if you can see the bronchioles more prominent. Bronchogram what we say, 3rd degree bronchus, if there is a bronchogram, then these are indications of RDS in the baby. RDS can happen say, upto 38 weeks, even in term babies and in late preterm babies, it is common. But even so it is even more common in less than 34 weeks or less than 20 weeks, it is quite common for the babies.