Respiratory distress syndrome

Background

  • AKA hyaline membrane disease, infantile respiratory distress syndrome, respiratory distress syndrome of the newborn, or RDS
  • Due to surfactant deficiency in infants delivered prematurely
    • 60% chance of developing RDS if delivered <29wks gestation, 10% of preemies overall, rare in full term infants[1]
  • Onset rapid upon delivery


Clinical Features


Differential Diagnosis

Evaluation

Management

  • See newborn resuscitation for general management of distressed newborn
  • Surfactant replacement (e.g. Servanta) given endotracheally
  • Prevented by prenatal corticosteroids between 24-34wks gestation in cases where high risk of preterm delivery[3]

Disposition

  • Admit

See Also

External Links

References

  1. https://www.thoracic.org/patients/patient-resources/breathing-in-america/resources/chapter-19-respiratory-distress-syndr.pdf
  2. Kurl S, Heinonen KM, Kiekara O. The first chest radiograph in neonates exhibiting respiratory distress at birth. Clin Pediatr (Phila). 1997:285–9
  3. https://www.aafp.org/afp/2007/1001/p987.html

Authors:

Claire