Obgyn Key

Blood Products Used in the Newborn Steven R. Sloan KEY POINTS Blood components should be transfused when clinically indicated to promote oxygen delivery and coagulation. Immunocompromised patients such as those…

Shock Amir M. Khan KEY POINTS Shock remains an important cause of neonatal mortality and morbidity. Shock in neonates may be due to lower vascular tone (distributive shock), inadequate blood…

Extracorporeal Membrane Oxygenation Gerhard K. Wolf John H. Arnold KEY POINTS Indications for neonatal extracorporeal membrane oxygenation (ECMO) are severe respiratory failure and circulatory or cardiac failure that are considered…

Pulmonary Air Leak Melinda Markham KEY POINTS Pneumothorax in neonates is most commonly associated with underlying lung disease requiring mechanical ventilation. Signs of pneumothorax can be variable, and consideration of…

Pulmonary Hemorrhage Erin J. Plosa KEY POINTS Pulmonary hemorrhage occurs in 3% to 5% of infants with severe respiratory distress syndrome (RDS). Symptomatic patent ductus arteriosus is an important risk…

Persistent Pulmonary Hypertension of the Newborn Linda J. Van Marter Christopher C. McPherson KEY POINTS Higher pulmonary than systemic vascular resistance leads to rightto-left shunting and hypoxemia. An echocardiogram is…

Respiratory Distress Syndrome Susan Guttentag KEY POINTS Respiratory distress syndrome (RDS), a disease affecting preterm infants, is caused by insufficient pulmonary surfactant. Antenatal corticosteroids given to a pregnant woman in…