Apnea & Periodic Breathing


Causes of Rapid Breathing and Respiratory Distress in Neonates
Pneumonia (bacterial, viral, chlamydia)
Aspiration
Bronchiolitis
Sepsis (bacteremia, urinary tract infection, meningitis)
Abdominal causes (distention, gastroenteritis, volvulus)
Metabolic acidosis (inherited metabolic disease, ductal-dependent congenital heart disease)
Congenital anomalies (cleft palate, laryngeal or tracheomalacia, laryngotracheal cleft, tracheal webs, tracheoesophageal fistula, tracheal hemangiomas, and vascular rings)
Delayed presentation of diaphragmatic hernia
Congenital heart disease (cyanotic and noncyanotic lesions)
Neuromuscular disease (infant botulism, muscle weakness)

 

Overview
Noisy Breathing/
Stridor
Croup Congenital Anomaly Airway Hematoma
Atresia
Cysts
Cleft
Stenosis
Webs
Infection
Laryngomalacia
URI Usually viral
Apnea & Periodic Breathing Periodic Breathing May be normal
Apnea
(ADMIT)
-Cessation of breathing > 10-20 sec. Bronchiolitis (RSV)
Chlamydia
Pretussis
Cyanosis & Blue Spells Cyanosis
(ADMIT)
Rapid, unlabored respiration Cyanotic Heart Disease (R to L shunt)
Irregular, Shallow Respiration Sepsis
CNS Disease
Metabolic Disorder
Labored breathing w/grunting & retraction Pulmonary Disease Pneumonia
Bronchiolitis