Abstract
Respiratory distress is a common emergency responsible for 30-40% of admissions in the neonatal period. A working diagnosis should be made in the first few minutes of seeing the baby and immediate lifesaving measures should be undertaken till further management plans are drawn up. Respiratory distress in the neonate is diagnosed when one or more of the following is present; tachypnoea or respiratory rate of more than 60/minute retractions or increased chest in drawings on respirations (subcostal intercostal sternal suprasternal) and noisy respiration in the form of a grunt stridor or wheeze. The distress may or may not be associated with cyanosis and desaturation on pulse oximetry. (excerpt)
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