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Respiratory Distress in the newborn, จรรยา สิงห์แป - Coggle Diagram
Respiratory Distress
in the newborn
Diagnosis
Hyperoxia test
100% oxygen for 5-10 min
PaO2 > 100 : Pulmonary
PaO2 < 100 : CCHD or PPHN
Hyperoxia - hyperventilation test
PPV rate 100-150 /min for 10 min
PaO2 > 100 : PPHN
PaO2 < 100 : CCHD
Lung ultrasound
Normal ultrasound
Pleural and lung sliding
A - line
Bat sign
Bamboo sign
Seashore sign
Specific condition
TTNB
CXR
perihilar steaking
increased interstitial markings
patchy infilltrates
fluid in interlobar fissures
RDS
CXR
small lung volume
ground-glass appearance or hazy lung
air bronchogram
Pneumonia
CXR
nodular or coarse patchy
air bronchogram
MAS
CXR
increased lung volumes
asymmetric patchy
pleural effusion
pneumothorax
Pneumothorax
Transillumination test : bright red light
CXR
pleural space
flattening of the diaphragm
Congenital Diaphragmatic Hernia
CXR
bowel and stomach within the chest
PPHN
Esophageal Atresia &Tracheoesophageal Fistula
Congenital Heart Disease
CXR : cardiomegaly
Treatment
Non-invasive ventilation
CPAP/HHHFNC
จรรยา สิงห์แป