Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams
Today, more infants weighing less than or equal to 300 g are born, and they survive because of the improvements in neonatal care and treatment. However, their detailed clinical course and neonatal intensive care unit management remain unknown due to their low survival rate and dearth of reports. A m...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2022-01-01
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| Series: | American Journal of Perinatology Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1678-3755 |
| _version_ | 1798037815551852544 |
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| author | Ryo Itoshima Arata Oda Ryo Ogawa Toshimitsu Yanagisawa Takehiko Hiroma Tomohiko Nakamura |
| author_facet | Ryo Itoshima Arata Oda Ryo Ogawa Toshimitsu Yanagisawa Takehiko Hiroma Tomohiko Nakamura |
| author_sort | Ryo Itoshima |
| collection | DOAJ |
| description | Today, more infants weighing less than or equal to 300 g are born, and they survive because of the improvements in neonatal care and treatment. However, their detailed clinical course and neonatal intensive care unit management remain unknown due to their low survival rate and dearth of reports. A male infant was born at 24 weeks and 5 days of gestation and weighed 258 g. The infant received 72 days of invasive and 92 days of noninvasive respiratory support, including high-frequency oscillatory ventilation with volume guarantee and noninvasive neurally adjusted ventilatory assist. Meconium-related ileus was safely treated using diatrizoate. Although the infant was diagnosed with severe bronchopulmonary dysplasia and retinopathy of prematurity requiring laser photocoagulation, he had no other severe complications. He was discharged 201 days postdelivery (3 months of corrected age) with a weight of 3.396 kg. Although managing infants weighing less than or equal to 300 g is difficult, our experience shows that it is possible by combining traditional and modern management methods. The management of such infants requires an understanding of the expected difficulties and adaptation of existing methods to their management. The management techniques described here should help improve their survival and long-term prognosis. |
| first_indexed | 2024-04-11T21:31:42Z |
| format | Article |
| id | doaj.art-f0d9c186e1f6452f9f597b57618ec700 |
| institution | Directory Open Access Journal |
| issn | 2157-6998 2157-7005 |
| language | English |
| last_indexed | 2024-04-11T21:31:42Z |
| publishDate | 2022-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | American Journal of Perinatology Reports |
| spelling | doaj.art-f0d9c186e1f6452f9f597b57618ec7002022-12-22T04:01:59ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052022-01-011201e89e9510.1055/a-1678-3755Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 GramsRyo Itoshima0Arata Oda1Ryo Ogawa2Toshimitsu Yanagisawa3Takehiko Hiroma4Tomohiko Nakamura5Division of Neonatology, Nagano Children's Hospital, Nagano, JapanDivision of Neonatology, Nagano Children's Hospital, Nagano, JapanDivision of Neonatology, Nagano Children's Hospital, Nagano, JapanDivision of Neonatology, Nagano Children's Hospital, Nagano, JapanDivision of Neonatology, Nagano Children's Hospital, Nagano, JapanDivision of Neonatology, Nagano Children's Hospital, Nagano, JapanToday, more infants weighing less than or equal to 300 g are born, and they survive because of the improvements in neonatal care and treatment. However, their detailed clinical course and neonatal intensive care unit management remain unknown due to their low survival rate and dearth of reports. A male infant was born at 24 weeks and 5 days of gestation and weighed 258 g. The infant received 72 days of invasive and 92 days of noninvasive respiratory support, including high-frequency oscillatory ventilation with volume guarantee and noninvasive neurally adjusted ventilatory assist. Meconium-related ileus was safely treated using diatrizoate. Although the infant was diagnosed with severe bronchopulmonary dysplasia and retinopathy of prematurity requiring laser photocoagulation, he had no other severe complications. He was discharged 201 days postdelivery (3 months of corrected age) with a weight of 3.396 kg. Although managing infants weighing less than or equal to 300 g is difficult, our experience shows that it is possible by combining traditional and modern management methods. The management of such infants requires an understanding of the expected difficulties and adaptation of existing methods to their management. The management techniques described here should help improve their survival and long-term prognosis.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1678-3755tiny infantextremely low birth weightsmall for gestational agehigh-frequency oscillatory ventilation with volume guaranteenoninvasive neurally adjusted ventilatory assistmeconium-related ileustranspyloric tube feedingcow milk–based fortifiermedium-chain triglyceride oil |
| spellingShingle | Ryo Itoshima Arata Oda Ryo Ogawa Toshimitsu Yanagisawa Takehiko Hiroma Tomohiko Nakamura Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams American Journal of Perinatology Reports tiny infant extremely low birth weight small for gestational age high-frequency oscillatory ventilation with volume guarantee noninvasive neurally adjusted ventilatory assist meconium-related ileus transpyloric tube feeding cow milk–based fortifier medium-chain triglyceride oil |
| title | Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams |
| title_full | Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams |
| title_fullStr | Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams |
| title_full_unstemmed | Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams |
| title_short | Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams |
| title_sort | respiratory and gastrointestinal management of an infant with a birth weight of 258 grams |
| topic | tiny infant extremely low birth weight small for gestational age high-frequency oscillatory ventilation with volume guarantee noninvasive neurally adjusted ventilatory assist meconium-related ileus transpyloric tube feeding cow milk–based fortifier medium-chain triglyceride oil |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1678-3755 |
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