Supportive care: see newborn resuscitation
Adequate oxygenation and ventilation
Supplemental oxygen to keep saturation >99% and PaO2 55-90
Assisted ventilation with CPAP if FiO2 exceeds 0.4 to 0.5
High frequency oscillatory ventilation or ECMO for those who fail conventional mechanical ventilation
Goal PaCO2 50-55 mmHg
Maintain blood pressure and perfusion
Umbilical lines to monitor blood gases and BP
Correct metabolic abnormalities
Empiric antibiotics while awaiting culture results (because of difficulty differentiating between pneumonia initially)
Surfactant administration for severe disease requiring mechanical ventilation, FiO2>0.5, and mean airway pressure >10-12
Adequate oxygenation and ventilation
Supplemental oxygen to keep saturation >99% and PaO2 55-90
Assisted ventilation with CPAP if FiO2 exceeds 0.4 to 0.5
High frequency oscillatory ventilation or ECMO for those who fail conventional mechanical ventilation
Goal PaCO2 50-55 mmHg
Maintain blood pressure and perfusion
Umbilical lines to monitor blood gases and BP
Correct metabolic abnormalities
Supplemental oxygen to keep saturation >99% and PaO2 55-90
Assisted ventilation with CPAP if FiO2 exceeds 0.4 to 0.5
High frequency oscillatory ventilation or ECMO for those who fail conventional mechanical ventilation
Goal PaCO2 50-55 mmHg
Umbilical lines to monitor blood gases and BP
Meconium aspiration syndrome
Sepsis
Tracheostomy complications
Pneumonia
Tracheomalacia
Delayed transition from fetal circulation
Tracheostomy obstruction
Pneumothorax