LIBRO + ANEXOS NEUMOLOGÍA PEDIÁTRICA

Neumología Pediátrica. Anexos ❚ 145 2. Recognize elements of the maternal history that increase the likelihood of neonatal pneumonia 3. Recognize elements of the maternal history that increase the likelihood of meconium aspiration syndrome 4. Recognize elements of the maternal history that increase the likelihood of persistent pulmonary hypertension b. Physical examination 1. Recognize the expected values of preductal versus postductal pulse oximetry readings in a neonate with persistent pulmonary hypertension c. Imaging 1. Recognize the radiographic features of meconium aspiration lung injury 2. Recognize the radiographic presentation of transient tachypnea of the newborn 3. Recognize the radiographic features of neonatal respiratory distress syndrome d. Pulmonary function tests 1. Know that specific airway resistance is normal in neonatal respiratory distress syndrome 2. Know that lung compliance is reduced in neonatal respiratory distress syndrome e. Other investigations f. Diagnostic criteria 1. Know the differential diagnosis of airflow obstruction in newborn infants 2. Know that early onset streptococcal pneumonia may mimic respiratory distress syndrome 3. Know the diagnostic criteria for persistent pulmonary hypertension of the neonate g. Complications 1. Recognize complications of treatment of neonatal respiratory distress syndrome 2. Recognize complications of severe meconium aspiration 3. Recognize the complications of persistent pulmonary hypertension of the neonate and its treatment 5. Prevention and therapeutic approach a. Prevention 1. Know that prophylactic surfactant therapy may prevent or lessen the severity of neonatal respiratory distress syndrome 2. Know that antenatal corticosteroids are used to prevent or lessen the severity of neonatal respiratory distress syndrome b. Therapeutic approach 1. Know that neonatal respiratory distress syndrome may be treated with surfactant replacement therapy 2. Know that persistent pulmonary hypertension of the neonate may be treated with inhaled nitric oxide 3. Know that primary pulmonary hypertension of the neonate unresponsive to conventional therapy may be treated with extracorporeal membrane oxygenation (ECMO) c. Side effects of therapy 1. Know the complications of therapy for neonatal respiratory distress syndrome 2. Know the effect of postnatal corticosteroid therapy on neurodevelopment