Tachypnea Of Newborn Research Articles

Content Analysis of Nursing Education on Transient Tachypnea of New Born (TTNB) after Simulation-based Nursing Education

Content Analysis of Nursing Education on Transient Tachypnea of New Born (TTNB) after Simulation-based Nursing Education

Cesarean Section Among all Deliveries in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study.

Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal. A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission. The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.

The role of lung ultrasound in diagnosis of critical lung illness in newborn infants

The chest x-rays and CT scanning are the first choice among the common diagnosing tools in lung diseases of newborn infants, but the chest x-rays to diagnose critical illness lack accuracy and it may cause ionizing radiation.Lung ultrasound shows high sensitivity and specificity in the diagnosing of neonatal respiratory distress syndrome, transient tachypnea of newborn and pneumothorax.Lung ultrasound has been proved to be more favorable in neonatal critical illness.Basic signs of lung ultrasound include A-line, lung sliding, seashore sign, B-line, lung rockets, et al. Key words: Lung ultrasound; Newborn; Critical illness

Point-of-care examinations of lung ultrasonography in neonatal intensive care unit

Objective To study the features of ultrasonography (LUS) of lung diseases in neonatal intensive care unit (NICU). Methods Total 1 413 neonates admitted in NICU of Beijing Chaoyang District Maternal and Child Health Hospital, Bayi Children′s Hospital Affiliated to the Chinese PLA General Hospital, Shenzhen Bao′an Maternal and Child Health Hospital from December 2014 to February 2015 were included in this study. All the newborns underwent LUS examination, the ultrasonographic features of neonatal lung diseases were analyzed. Results There were 1 059 cases (74.9%) with lung diseases among 1 413 neonates. Among 354 neonates without lung diseases, the B-lines were observed in 351 cases (99.2%) within 3 day after birth, in 113 cases (31.9%) in 3 day to 1 week after birth, and in 23 cases in 1 to 2 weeks after birth. Among 491 neonates with lung diseases undergoing LUS examination within 48 h after admission, the A-lines disappeared in all patients; the other features included pleural lines abnormalities(n=440, 89.6%), interstitial syndrome (n=353, 71.9%), lung consolidation(n=423, 86.25%), pulmonary edema(n=135, 27.5%) and lung pulse(n=96, 19.6%). The reduction or elimination of above abnormal signs represented the alleviation of lung diseases. Fifty four neonates, in whom the lung diseases were not detected by X-ray, were diagnosed as transient tachypnea of newborn (TTN), respiratory distress syndrome (RDS)and pneumonia by LUS. Fifty five patients, who were misdiagnosed with RDS by X-ray, were confirmed as TTN by LUS. Seventy one neonatal patients with long-term oxygen dependence, in whom no abnormal signs were detected by X-ray, underwent LUS examination and lung atelectasis, pulmonary consolidation and/or interstitial syndrome were diagnosed in 46 cases. Conclusion The LUS is practical and effective in diagnosis of neonatal pulmonary diseases, it is a non-irradiative diagnostic procedure and can be applied on bed side; therefore, it should be routinely used in NICU. Key words: Infant, newborn; Lung diseases; Ultrasonography

Effect of salbutamol nebulization in transient tachypnea of newborn

Effect of salbutamol nebulization in transient tachypnea of newborn

Neonatal respiratory distress in early neonatal period and its outcome

Respiratory distress is one of the most common causes of admission in NICU. The aim of this work was to study the commonest causes of respiratory distress in NICU, analysis of each cause, and to deter-mine the strategic plan needed to improve the outcome of these cases.Patients and Methods: A prospective study was conducted through the period from January 2003 to October 2004. Data were collected from all patients admitted in the unit during this period.Results: Total number of, 855(17.27%) newborn were admitted to NICU, 140 of them developed respiratory distress comprising 16.37% of all NICU admissions and with an incidence of 2.83%. The commonest causes of respiratory distress in our study were transient tachypnea of newborn (TTN) 57 (40.7%) respiratory distress syndrome (RDS) 24 cases (17.2%), birth asphyxia 16 cases (11.4%) and Meconium aspiration syndrome (MAS) 13 cases (9.3%). Cesarean section was the most common predisposing factor associated with the development of TTN and RDS (the most 2 common causes of respiratory distress in our study). The overall mortality rate of cases of respiratory distress in our study was 22.86%.Conclusion -the study confirmed the importance of NRD with a frequency rate of 2.83%, morbidity of 5% and mortality of 22.86% of cases. The causes, risk factors and immediate outcome were determined and discussed. Some recommendations were suggested in order to reduce its frequency, morbidity and mortality

Value of lung ultrasound on diagnosing transient tachypnea of newborn

Objective To evaluate the diagnostic value of lung ultrasonography for transient tachypnea of newborn (TTN). Methods From January to December 2014, a total of 1 358 children were hospitalized in the Neonatal Intensive Care Center and underwent lung ultrasonography at the Bayi Children's Hospital, Beijing Military General Hospital.According to the patients' medical histories, clinical presentations, arterial blood gas analysis, chest X-ray examinations, and lung ultrasound examinations, there were 412 cases of patients without pulmonary lesions, 228 cases of TTN, 358 cases of respiratory distress syndrome (RDS), 85 cases of meconium aspiration syndrome (MAS), 215 cases of infectious pneumonia, and 60 other cases at the time of hospital admission.In a resting state, the patients were placed in a supine, lateral recumbent or prone position.By using the anterior and posterior axillary lines as boundaries, the lung was divided into 3 regions: anterior, lateral, and posterior.The probe was perpendicular or parallel to the ribs, and each region of both sides of the lung was scanned.The scan results were compared to the conventional chest X-ray results. Results The main ultrasonic characteristics of TTN was pulmonary edema.In severe cases, the ultrasound showed a white lung or compact B-line.Compact B-line had 100.0% sensitivity and 95.3% specificity for diagnosing severe TTN.Mild TTN presented as pulmonary interstitial syndrome or double lung point.Double lung point might appear during the recovery period of mild TTN or other diseases, such as RDS, MAS, and pneumonia, among others.Lung consolidation and air bronchogram were not observed in patients with TTN.Pleural effusion might occur in a variety of lung diseases, and pleural line abnormality, A-line disappearance, and B-line or pulmonary interstitial syndrome were common ultrasonic manifestations of a variety of lung diseases. Conclusions Ultrasonic diagnosis of TTN, mainly based on pulmonary edema without lung consolidation and air bronchogram, is accuracy and reliable; however, double lung point is not a specific sign of TTN, whereas the identification of a white lung and compact B-line is a sensitive and specific sign of severe TTN. Key words: Transient tachypnea; Lung ultrasound; Infant, newborn

Evaluation of gene SCNN1A responsible for the synthesis of alpha subunit of epithelial sodium channel in transient tachypnea of newborn

Amac: Epiteliyal sodyum kanallari perinatal donemde sodyum hareketlerinin duzenlenmesinde ve alveol icinde bulunan sivinin emiliminde onemli rol oynar Yenidoganin gecici takipnesi zamaninda dogan ya da zamaninda dogmaya yakin bebeklerde sik gorulen bir solunum sorunudur Etiolojide epiteliyal sodyum kanallarinda olgunlasma eksikligi dusunulmekle birlikte genetik etmenlerin rolu belirsizdir Bu calismanin amaci yenidoganin gecici takipnesinin gelisiminde; hastaligin mekanizmasi acisindan etkili oldugu bilinen epiteliyal sodyum kanali alfa alt biriminin sentezinden sorumlu olan SCNN1A geninin rolunu arastirmaktir Gerec ve Yontem: Calismaya Temmuz 2010 Ocak 2012 tarihleri arasinda Akdeniz Universitesi Tip Fakultesi Yenidogan Yogun Bakim Birimi rsquo;nde yenidoganin gecici takipnesi tanisi alan 37 gebelik haftasinin uzerindeki hastalar ve kontrol grubu olarak ayni gestasyon yasindaki saglikli yenidoganlar dahil edildi Her iki gruptan yasamlarinin ilk bes gunu icinde EDTA rsquo;li tupe 2 cc tam kan alinarak 80 derecede saklandi DNA rsquo;nin elde edilme islemi Tibbi Biyoloji Anabilimdali rsquo;nda yapildi BigDye terminator kullanilarak Sanger sekanslama yontemiyle gen goruntulendi Calisma icin etik kurul onayi alindi B 30 2 AKD 0 20 05 05 Bulgular: Yenidoganin gecici takipnesi grubunu 32 kontrol grubunu 32 bebek olusturdu Sekans goruntuleme yontemiyle epiteliyal sodyum kanali alfa alt birimini kodlayan gen olan SCNN1A geninin butun ekzonlari goruntulendi ancak herhangi bir degisiklige rastlanmadi Cikarimlar: Calisma sonucunda yenidoganin gecici takipnesi gelisimi ile epiteliyal sodyum kanali alfa alt birimi sentezinden sorumlu olan SCNN1A geni arasinda iliski saptanmadi Ancak bu on calismanin; cok merkezli bir arastirma seklinde hasta sayisi arttirilarak tekrar degerlendirilmesinin daha acik veriler elde etme acisindan yararli olacagi dusunuldu Turk Ped Ars 2013; 48: 35 9

PP-102. The role of NT-proBNP in the pathogenesis of transient tachypnea of newborn

PP-102. The role of NT-proBNP in the pathogenesis of transient tachypnea of newborn