Document Detail

Differentiating upper from lower airway compromise in neonates.
MedLine Citation:
PMID:  4051409     Owner:  NLM     Status:  MEDLINE    
Technologic advancements and improvements in supportive care have resulted in increased survival of very low birth weight and premature infants. With salvage of these high risk newborns, many difficult management problems arise. Respiratory distress of the newborn is the most common airway problem that affects these patients and subglottic edema or stenosis may frequently complicate management of the airway. Decision-making in airway maintenance and respiratory care can be problematic due to multiple factors that must be considered. The otolaryngologist is often consulted when upper airway obstruction is suspected. Relevant respiratory physiology is reviewed in order to help direct therapeutic decision-making. Parameters of assessment are enumerated and methods for choosing among therapeutic alternatives are presented. A paradigm to aid in differential diagnosis is described.
S M Pransky; K M Grundfast
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  94     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:    1985 Sep-Oct
Date Detail:
Created Date:  1985-11-19     Completed Date:  1985-11-19     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  509-15     Citation Subset:  AIM; IM    
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MeSH Terms
Apnea / complications
Bronchopulmonary Dysplasia / complications
Central Nervous System Diseases / complications
Diagnosis, Differential
Fetal Organ Maturity
Heart Defects, Congenital / complications
Iatrogenic Disease
Infant, Low Birth Weight
Infant, Newborn
Intubation, Intratracheal / adverse effects
Lung / embryology
Respiration, Artificial / adverse effects
Respiratory Distress Syndrome, Newborn / diagnosis*,  physiopathology,  therapy
Respiratory Insufficiency / diagnosis*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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