Neonatal Emergencies

Neonatal Emergencies - Neonatal Emergencies Marvin S. Cohen...

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Unformatted text preview: Neonatal Emergencies Marvin S. Cohen MD UTMB Human Misery: The Harvest Woman Paul Gauguin 1889 TRACHEO-ESOPHAGEAL FISTULA (TEF) • 1 in 3000 births • VATER: – Vertebral/ (VSD) – Anus- imperforate – Tracheoesophageal Fistula – Esophageal Atresia – Radial and Renal TEF symptoms • Excessive secretions • Inability to pass feeding tube • Polyhydramnios • Presence of air in bowel on KUB • Respiratory distress and recurrent aspiration TEF • Positive pressure ventilation after stomach has been vented; or very judiciously • Place ET tube below fistula and above carina and tape securely • Beware of dehydration and aspiration • Extubation only if baby is very stable A Neonatal Emergency… Congenital Diaphragmatic Hernia CDH • 1 :5000 births; 25% have cardiac abnormalities • Ipsilateral lung hypoplasia • Diaphragmatic defect Bochdalek left or foramen of Morgagni • Bowel sounds in chest • Pulmonary Hypertension Congenital Diaphragmatic Hernia • Large intraoperative fluid losses...
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This note was uploaded on 12/28/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Neonatal Emergencies - Neonatal Emergencies Marvin S. Cohen...

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