Neonatal Pulmonary Disorder & Resuscitation

The adaptation from intrauterine to extra uterine life involves a rapid and complex orchestration of physiologic changes. Within a minute of life, the newly born infant is subjected to multiple unfamiliar stimuli such as light, cold and noise compared with the dark, warm environment of intrauterine life. In addition, the infant should make the transition from dependence on placental gas exchange to spontaneous air breathing and pulmonary gas exchange. Most of this transition occurs without difficulty. However, multiple maternal, placental, mechanical, and fetal conditions exist that can jeopardize a smooth transition and signal the need for the intervention. It is generally estimated that 6% to 13% of newly born infants will require some degree of active resuscitation for this transition to occur.

More reliance on diaphragmatic excursions over intercostal muscles is physiology significant of the respiratory system in neonates and infants.

 

  • The physiology of the first breath
  • New-born Respiratory Disorders
  • Neonatal Chronic lung disease
  • Current guidelines for neonatal resuscitation
  • Neonatal resuscitation supplies and equipment
  • The Physiology of Transition

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