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Volume 5
Neonatal and Pediatric Medicine
Page 49
Joint Meeting on
2
nd
Annual Conference on
&
Pediatric Nursing and Healthcare
23
rd
World Nutrition & Pediatrics Healthcare Conference
Health Care, Nutrition & Pediatrics Meet 2019
June 17-18, 2019
June 17-18, 2019 Dubai, UAE
Akumtoshi, Neonat Pediatr Med 2019, Volume 5
Respiratory distress syndrome in a nutshell
Akumtoshi
Indian Academy of Pediatrics, India
R
espiratoryDistress Syndrome (RDS) is an important cause of mortality andmorbidity in pretermneonates.
With the increasing number of preterm deliveries globally according to the World Health Organization,
it is imperative to consider a safe place for delivery and a good obstetric care to start with. Antenatal steroids
are helpful not only in reducing the risk of RDS but also reducing Necrotizing Enterocolitis (NEC) and intra
ventricular hemorrhage which further improves the outcome of a preterm delivery. Delayed cord clamping
is recommended as it reduces mortality in preterm newborns. Use of optimal oxygen and getting CPAP
into the delivery room has improved the outcome and reduced the need for mechanical ventilation thus
reducing the risk of Chronic Lung Disease (CLD). Timing the administration of surfactant is important to
avoid mechanical ventilation. The increasing use of non-invasive ventilation has reduced ventilator induced
lung injury and CLD. Many have embraced Heated Humidified High Flow Nasal Oxygen (HHHFNC) as an
alternative to CPAP and its use has increased in view of its ease of use and lesser trauma. Caffeine facilitates
early extubation in intubated preterms on ventilators and improves neuro developmental outcome. Adequate
nutrition and proper temperature control starting from the point of delivery cannot be emphasized enough
for this group of population.
Biography
Akumtoshi has completed his MBBS from Rajendra Institute of Medical Sciences, Ranchi and MD in Pediatrics from Assam Medical College.
He is currently working as the Treasurer of Indian Academy of Pediatrics in the state of Nagaland, India and also the State Academic
Coordinator for Neonatal Resuscitation Program and a Member-Scientific Committee in the East Zone Academy of Pediatrics, India.
akumtoshi@gmail.com