The most common foreign bodies in the airway are food (peanuts are the most common) and coins. They are lodged most commonly at the right mainstem bronchus or subsegmental bronchi Foreign body aspiration is characterised by the sudden onset of…
Hypoxic-ischaemic encephalopathy (HIE) is a serious neurological condition that is caused by inadequate cerebral oxygen supply (asphyxiation). It is commonly associated with perinatal asphyxia, but can also be caused by severe systemic hypoxia and cardiac arrest (in adults). HIE is…
Apnoea of prematurity is a developmental disorder of respiratory control that occurs in preterm infants born at < 34 weeks’ gestational age. Apnoea of prematurity is defined as: Its prevalence is inversely related to gestational age. At < 28 weeks,…
Persistent pulmonary hypertension of the newborn (PPHN) is characterized by failure of normal pulmonary vascular transition at birth, leading to increased pulmonary vascular resistance, right-to-left shunting, and severe hypoxaemia despite adequate ventilation. Types of persistent pulmonary hypertension of the newborn…
Transient tachypnoea of the newborn is a mild, temporary respiratory distress caused by retained fluid in the lungs. It is self-limited, presenting within 2 hours of delivery and resolving within 72 hours. It is the most common cause of neonatal…
Meconium aspiration syndrome is a serious condition that is caused by aspiration of amniotic fluid containing meconium, leading to complete or partial airway obstruction, chemical pneumonitis, and surfactant dysfunction. This results in severe respiratory distress. It commonly occurs in significant…
The lungs are the most common site of infection in the neonate. The infectious organisms are commonly acquired from the vaginal tract.
A spontaneous pneumothorax occurs in 1% of all deliveries
A congenital diaphragmatic hernia (CDH) is a failure of the diaphragmatic tissue to fuse, resulting in a defect that allows abdominal contents to herniate into the thoracic cavity. The main issue with congenital diaphragmatic hernias is respiratory insufficiency due to…
Continuous positive airway pressure (CPAP) is a non-invasive ventilation that delivers constant positive pressure throughout inspiration and expiration. This helps to maintain end-expiratory alveolar pressure, preventing atelectasis and improving gas exchange. It is administered to a spontaneously breathing patient –…
