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In the spotlight

Neonatology Review: Q & A

Editors, Dr. Brodsky and Dr. Martine have granted us permission to reproduce these questions.

A term infant is born by cesarean section and transferred to the NICU at one hour of life with respiratory distress.  The infant is intermittently tachypneic and has some mild subcostal retractions and nasal flaring.  The infant has a room air oxygen saturation of 100%.  A chest radiograph reveals a pneumomediastinum.
What is the most appropriate NEXT step?

A. Administer supplemental oxygen
B. Initiate continuous positive airway pressure
C. Intubate the infant
D. Observe the infant
E. Obtain an arterial blood gas

Briefly Legal

Gastric Perforation in the Neonate

Maureen E. Sims, M.D.
Professor Emeritus, University of California, Los Angeles

Gastric perforation is a rare complication in neonates, but it is more common in preterm than term babies.  The causes are numerous, and the associated signs and symptoms are non-specific.  Gastric perforation can present with any combination of abdominal distention feeding intolerance, respiratory distress, poor activity, gastrointestinal bleeding, abdominal erythema, or shock. The mortality is high if there is a delay in recognition and surgical repair.

Gastric Perforation »
Hemologic Disease »

Briefly Legal Archive »

Featured Articles

Inhaled Nitric Oxide Use in Neonates with Congenital
Diaphragmatic Hernia

Pediatric Heal Information System data were queried for inhaled nitric oxide (INO) use in 1713 newborns with CDH admitted to 33 hospitals. INO use in neonates with CDH is widespread, and has increased at many US tertiary pediatric hospitals without contemporaneous change in ECMO utilization or mortality. The improvement of evidence-based guidelines for the use of INO in newborns with CDH could lead to a reduction in health care costs for these patients

Read the article »

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In the news

Featured App - LactMed

This app houses a comprehensive list of medications and supplements and their effect on lactation, the breasted infant and levels in mother and baby.

Available at Apple App Store and Android Market  

NICU-Fellowship Programs

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@ TECaNchat

The Trainees and Early Career Neonatologists (TECaN) group now has a twitter account to help disseminate important AAP information.

Please follow us on Twitter@TECaNchat.

Section on Perinatal Pediatrics

The Section on Perinatal Pediatrics is the home organization for specialists in Neonatal-Perinatal Medicine and also welcomes affiliate members working in related disciplines. At a membership of nearly 3,500, the Section is the largest specialty group of the American Academy of Pediatrics. The Section's highest priority is to ensure optimal health and well-being of babies and mothers and this is accomplished through the Section's core activities in the realms of advocacy, education, outreach and support of clinicians and researchers.

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