| The dreaded desaturating baby: a difficult problem in clinical management. | |
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MedLine Citation:
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PMID: 17394930 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There are various causes for frequent desaturations in infants. Frequent hypoxemia is a significant change in clinical status and must be investigated carefully for possible etiology. When common extra-airway causes for desaturation are ruled out, one should attempt to distinguish between central apnea and obstructive events. The most commonly overlooked obstructive event is tracheobronchomalacia, and steps should be initiated to understand the scope of the problem through pulmonary function testing and bronchoscopy. Adequate respiratory support for the infant should be provided until adequate time passes to enable airway growth and improved cartilaginous deposition to occur. Parents must be carefully supported during this time; the stress of having an infant who requires prolonged hospitalization and care for tracheobronchomalacia is substantial. |
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Authors:
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Alan R Spitzer |
Publication Detail:
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Type: Historical Article; Journal Article; Review |
Journal Detail:
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Title: Clinics in perinatology Volume: 34 ISSN: 0095-5108 ISO Abbreviation: Clin Perinatol Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-03-30 Completed Date: 2007-06-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7501306 Medline TA: Clin Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 55-71, vi Citation Subset: IM |
Affiliation:
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The Center for Research and Education, Pediatrix Medical Group, 1301 Concord Terrace, Sunrise, FL 33323, USA. alan_spitzer@pediatrix.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anoxia
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etiology,
physiopathology,
therapy* Bronchopulmonary Dysplasia / complications*, physiopathology History, 20th Century Humans Infant, Newborn Lung Compliance Oxygen / blood Oxygen Consumption / physiology* Respiratory Distress Syndrome, Newborn / history, therapy Respiratory Function Tests |
| Chemical | |
Reg. No./Substance:
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7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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