PROBLEM SOLVING IN CLINICAL PRACTICE
Galvanised by a respiratory distress diagnosis
1 Department of Newborn Care, Royal Hospital for Women, Randwick, NSW 2031, Australia
2 School of Women’s and Children’s Health, University of New South Wales, Kensington, NSW 2032, Australia
3 Electron Microscope Unit, Concord Repatriation General Hospital, Concord, NSW 2139, Australia
4 Department of Pathology, Sydney Children’s Hospital, Randwick, NSW 2031, Australia
Correspondence to:
Dr Kei Lui, Department of Newborn Care, Royal Hospital for Women, Barker Street, Locked Bag 2000, Randwick, 2031 NSW, Australia; Kei.Lui@SESIAHS.HEALTH.NSW.GOV.AU
| The first 150 words of the full text of this article appear below. |
The third pregnancy of a 38-year old Caucasian G3P2 woman had been unremarkable apart from pregnancy-induced cholestasis and group B streptococcus (GBS) detected on a routine 35-week high vaginal swab and for which intrapartum penicillin was administered. Following induction of labour at 38 weeks’ gestation for worsening cholestasis, the woman proceeded to a normal vaginal delivery of a live male infant. There was no maternal pyrexia and the liquor was clear. The parents were non-consanguineous and neither the parents nor the other siblings had a history of pulmonary disease.
The baby was born with Apgar scores of 8 and 9 at 1 and 5 min, respectively. He developed respiratory distress almost immediately, with an audible grunt, flaring of the alae nasi and tachypnoea. Oxyhaemoglobin saturation (SpO2) was 82% when breathing room air so the infant was placed in a head box (HB) with fractional inspired oxygen (FiO2) of
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in ADC Online
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
