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Neo emergencies_Tate - Neonatal Emergencies Beyond the...

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Neonatal Emergencies Beyond the A,B,C’s of Resuscitation in the DR and NICU
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Case # 1 Summoned to the LDR STAT term infant no prenatal complications cyanotic severe respiratory distress cyanosis, grunting, retractions, HR 140, good tone
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Case # 1 Attempt PPV unsuccessful Attempt intubation can’t see past the base of the tongue very small mandible
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What is the name and etiology of this infant’s anatomical condition? Pierre Robin Sequence
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Case # 1 Approach to this airway place infant prone nasal trumpet or 2.5 ETT insert via nasal passage tip at level of the posterior pharynx call Peds ENT stat if you can’t secure an airway
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Case # 1 Pierre-Robin triad macroglossia + cleft palate glossoptosis micrognathia respiratory obstruction tongue held against posterior pharyngeal wall secondary to marked neg pressure during insp effort
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Case # 1 Treatment support airway Positioning Nasal Airway Tracheostomy Nutrition Prognosis the more prolonged the resuscitation the worse the neurologic outcome
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Case # 2 You are called to attend a delivery secondary to fetal distress
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