neonate with respiratory distress syndrome. Students, what d | Figure 1

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neonate with respiratory distress syndrome. Students, what do you see?


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40.2 week female. Suspected MAS per meconium stained fluid from SROM. Respiratory distress and intubated. Developed PPHN and put on iNO. First pic from day of birth. Second is from 3 days later.



Chest radiograph in a premature neonate shows granular opacities throughout the lungs consistent with surfactant deficiency or respiratory distress syndrome. Pulmonary surfactant is secreted by type II pneumocytes and helps to decrease surface tension within alveoli. In premature infants, the type II pneumocytes are not yet developed and surfactant is not produced. Exogenous surfactant is used to treat this condition.



Male, second of twins born via CS at 26 weeks AOG. Extreme low birth weight. He was intubated, on positive pressure ventilation and on surfactant therapy for RDS/HMD. By 5th day of life, had desaturations and decreased activity. This xray was taken at bedside. Patient eventually expired.



Frontal chest radiograph (image 1) in a neonate with a history of respiratory distress syndrome exhibits a left tension pneumothorax (arrow), causing a shift of the heart and mediastinum to the right and a flattening of the left hemidiaphragm. This condition is an emergency that requires urgent decompression to prevent compromise of respiratory and cardiac function. In neonates, needle decompression is typically performed before placing a chest tube.