A late preterm infant with progressive respiratory distress

Abstract

A 2300 g female baby was born at 36+4 gestational age via

caesarean section. Prenatal history was unremarkable. At 2

hours of age the baby was transferred to neonatal intensive

care unit due to progressive respiratory distress and

received poractant alfa as intubation-surfactant-extubation

therapy after which FiO2 requirement decreased from 0.50

to 0.25. At 34 hours of age, while she was still on nasal

continuous positive airway pressure (CPAP), she had sudden

deterioration with retractions, desaturation and bradycardia.

The infant was immediately intubated and put on high

frequency oscillatory ventilation (HFOV) after which her

oxygen saturations and heart rate stabilized.

Keywords

• A late preterm infant with progressive respiratory distress

References

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