DIFFERENTIAL AND THERAPEUTIC ASPECTS OF RESPIRATORY DISORDERS IN THE NEWBORN
INTRODUCTION: Respiratory problems are the most common cause of admission to neonatal intensive care units (NICU). In this scenario, medical accuracy in recognizing differential aspects of respiratory disorders in newborns is extremely important, mainly because they present, among themselves, different degrees of morbidity and mortality and demand specific therapies. This article, therefore, aims to clarify these aspects in order to encourage the most appropriate diagnosis and treatment for this age group. METHODOLOGY : This article is a bibliographic review with a descriptive character. Data collection was carried out from January to May 2022, where scientific articles from the SCIELO, Google Scholar and LILACS system were searched. In all, 12 articles were fully sufficient to elucidate the topic. RESULTS: The etiopathogenesis, clinical picture, diagnosis, differential diagnosis and therapy were discussed regarding meconium aspiration syndrome, transient tachypnea of the newborn and neonatal sepsis. CONCLUSIONS: For transient tachypnea, identification of hilar congestion and cisural fluid may be helpful. For RDS and neonatal sepsis, however, the reticulogranular infiltrate is common to both. In this case, the blood count and systemic manifestations are useful for differentiation. Therefore, the greatest strategy is linked to the clinical history - identifying important points in the history, such as maternal and gestational health status, in addition to gestational age -, and to the physical examination - since some disorders manifest themselves in a milder way than others.
DIFFERENTIAL AND THERAPEUTIC ASPECTS OF RESPIRATORY DISORDERS IN THE NEWBORN
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DOI: 10.22533/at.ed.1592282207066
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Palavras-chave: Respiratory disorders in the newborn. Respiratory distress syndrome. Meconium aspiration syndrome. Transient tachypnea of the newborn. Neonatal sepsis.
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Keywords: Respiratory disorders in the newborn. Respiratory distress syndrome. Meconium aspiration syndrome. Transient tachypnea of the newborn. Neonatal sepsis.
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Abstract:
INTRODUCTION: Respiratory problems are the most common cause of admission to neonatal intensive care units (NICU). In this scenario, medical accuracy in recognizing differential aspects of respiratory disorders in newborns is extremely important, mainly because they present, among themselves, different degrees of morbidity and mortality and demand specific therapies. This article, therefore, aims to clarify these aspects in order to encourage the most appropriate diagnosis and treatment for this age group. METHODOLOGY : This article is a bibliographic review with a descriptive character. Data collection was carried out from January to May 2022, where scientific articles from the SCIELO, Google Scholar and LILACS system were searched. In all, 12 articles were fully sufficient to elucidate the topic. RESULTS: The etiopathogenesis, clinical picture, diagnosis, differential diagnosis and therapy were discussed regarding meconium aspiration syndrome, transient tachypnea of the newborn and neonatal sepsis. CONCLUSIONS: For transient tachypnea, identification of hilar congestion and cisural fluid may be helpful. For RDS and neonatal sepsis, however, the reticulogranular infiltrate is common to both. In this case, the blood count and systemic manifestations are useful for differentiation. Therefore, the greatest strategy is linked to the clinical history - identifying important points in the history, such as maternal and gestational health status, in addition to gestational age -, and to the physical examination - since some disorders manifest themselves in a milder way than others.
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Número de páginas: 10
- Malu Rissi
- Millena Mesquita Costa Vasconcelos
- Lara Victória Menezes Elias Mota
- Andreane Meneses Andrade
- Summer Santana Linhares
- Laíse Andrade Oliveira
- Zuleide Barros Luna Gomes
- Lara Letycia Araujo Costa
- Anelise Marques Feitosa de Souza
- Mylenna Bomfim Souza
- Gabrielle Barbosa Lima de Andrade
- Jenyfer da Costa Andrade
