(Wet-Lung Syndrome of newborns)

The transient tachypnea in newborns is a transient shortness of breath, which is caused by a delayed absorption of fetal lung fluid.

Transient tachypnea of ??the newborn affects premature infants, term infants who were delivered by a non-mandatory caesarean section without labor, and children with respiratory depression. A part of the cause is the immaturity of the sodium channels in the lung; these channels are for the absorption of sodium (and water) is responsible from the alveoli. (The mechanism for the normal absorption of fetal lung fluid Perinatal Physiology: Lung function). Other risk factors include macrosomia, maternal diabetes and / or asthma, lower gestational age and male gender.

The transient tachypnea in newborns is a transient shortness of breath, which is caused by a delayed absorption of fetal lung fluid. Transient tachypnea of ??the newborn affects premature infants, term infants who were delivered by a non-mandatory caesarean section without labor, and children with respiratory depression. A part of the cause is the immaturity of the sodium channels in the lung; these channels are for the absorption of sodium (and water) is responsible from the alveoli. (The mechanism for the normal absorption of fetal lung fluid Perinatal Physiology: Lung function). Other risk factors include macrosomia, maternal diabetes and / or asthma, lower gestational age and male gender. Transient neonatal tachypnea is presumed if the child develops a respiratory distress syndrome shortly after birth. Symptoms are tachypnea, intra costal and subcostal retractions, grunting, nasal flaring and possibly cyanosis. Pneumonia, respiratory distress syndrome and sepsis may have similar symptoms, so usually a chest X-ray, a blood count and blood cultures are made. The chest x-ray showing pulmonary overdistended with strip-shaped beyond the perihilar area patterns which give the whole the appearance of a shaggy heart silhouette, while the periphery of the lungs is clean. Often liquid can be seen in the Lungenfissuren. If the initial findings are unclear or suggest an infection, antibiotics are given (eg., Ampicillin, gentamicin), while waiting for the results of blood culture. A recovery will take 2-3 days. The treatment is supportive with an O2 administration via a hood, blood gas determination and pulse oximetry. In rare cases require very early preterm and / or newborns who have a neurological depression at birth, CPAP and occasionally even mechanical ventilation.

Health Life Media Team

Leave a Reply