Dry lung syndrome: A distinct clinical entity.
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Date
2010-09
Journal Title
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Abstract
Infants with preterm prolonged rupture of membranes
can present with immediate onset of pulmonary
insufficiency and need aggressive ventilatory support. Dry
lung syndrome remains an under-recognised clinical entity
and very few cases are reported in the literature, though a
working definition has been previously proposed. The
proposed underlying etiopathogenesis for this is functional
hypoplasia of the lung where higher than usual ventilatory
pressure for initial 1-2 days can improve oxygenation. This
study presents two cases which had similar antenatal and
immediate postnatal course, but had diametrically opposite
outcomes. Strategies to optimise outcomes in the setting of
early premature rupture of the membranes should include
antenatal assessment of mothers with monitoring of the liquor
volume as well as the strength of foetal breathing movements,
in-utero transfer with delivery in perinatal centres and
attendance by neonatal staff of appropriate experience.
Description
Keywords
Dry lung, Newborn
Citation
Sehgal Arvind, Francis Johny Vakayil, Ang Hazel, Tan Kenneth. Dry lung syndrome: A distinct clinical entity. Indian Journal of Pediatrics. 2010 Sept; 77(9): 1029-1031.