Nursing care of a baby with a disorder of the respiratory system

  • Doreen Crawford

Abstract

Respiratory problems are the commonest cause of morbidity and mortality in the neonatal period. Each infant has individual differences in the rate of respiration, although the average is approximately 40 breaths per minute. Efficient and effective respiration, with adequate gas exchange, never results in laboured respiration. What constitutes tachypnoea may be defined differently between units; Roberton (1986) considers the average to be between 35 and 45 breaths per minute, and Levene (1987) states that a respiratory rate of 60 breaths per minute or over is tachypnoeic.

Keywords

Fatigue Surfactant Catheter Depression Foam 

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References

  1. Aloan, C. (1987) Respiratory Care of the Newborn, J.B. Lippincott Company, Philadelphia.Google Scholar
  2. Bertone, B. (1988) The role of physiotherapy in the neonatal intensive care unit. Australian Journal of Physiotherapy 34(1), 27–34.Google Scholar
  3. Bhutani, V., Abbasi, S., Walker, A. and Gendes, J. (1992) Pulmonary mechanics and energetics in preterm infants who had respiratory distress and were treated by surfactant. Journal of Pediatrics 120(2), 18–24.CrossRefGoogle Scholar
  4. Bryant, B. (1990) Drug, fluid and blood products administered through the umbilical artery catheter; complication experiences. Neonatal Network 9(1), 27–43.PubMedGoogle Scholar
  5. Carlo, W. and Chatburn, R. (1990) Neonatal Respiratory Care, 2nd edn, Year Book Medical Publishers, Chicago.Google Scholar
  6. Crawford, D. (1991) A boost to the chances of survival: extra corporeal membrane oxygenation in neonatal care. Professional Nurse 6(8), 426–30.Google Scholar
  7. Crawford, D. (1992) Putting parents in the picture. Nursing Times 88(2), 41–2.PubMedGoogle Scholar
  8. Cummings, J., Holm, B., Hudak, M. et al. (1992) A controlled clinical comparison of four different surfactant preparations in surfactant deficient preterm lambs. American Review of Respiratory Diseases 145(5), 999–1004.CrossRefGoogle Scholar
  9. Downes, J. and Parker, A. (1991) Chest physiotherapy for preterm infants. Pediatric Nursing 3(2), 14–17.Google Scholar
  10. Gortner, L., Bernsau, U., Hellwege, H. et al. (1992) Early treatment of respiratory distress syndrome with bovine surfactant in very preterm infants: a multi centre controlled clinical trial. Pediatric Pulmonology 14(1), 1–3.CrossRefGoogle Scholar
  11. Grossglauser, L. (1992) Neonatal radiology: assessment of the quality of the neonatal X ray film. Neonatal Network 11(7), 69–72.PubMedGoogle Scholar
  12. Halliday, H., McClure, G. and Reid, M. (1981) Transient tachypnoea of the newborn: two distinct clinical entities. Archives of Disease in Childhood 56, 322–5.PubMedCrossRefGoogle Scholar
  13. Harrison, R., Langen, J., Adzick, N. et al. (1990) Correction of congenital diaphragmatic hernia in utero. Initial clinical experience. Journal of Pediatric Surgery 25(1), 47–57.PubMedCrossRefGoogle Scholar
  14. Hoekstra, R., Jackson, J. and Myers, T. (1991) Improved neonatal survival following multiple doses of bovine surfactant in very premature infants at risk of respiratory distress syndrome. Pediatrics 88(1), 8–10.Google Scholar
  15. Kolobow, T. (1988) Acute Respiratory Failure, XXXIV. Transactions American Society Artificial Internal Organs XXXIV, 31–4.Google Scholar
  16. Levene, M., Tudenhope, D. and Thearle, J. (1987) Essentials of Neonatal Medicine, Blackwell Scientific Publications, Oxford.Google Scholar
  17. Liggings, G. and Howie, R. (1972) Controlled trial of antepartum glucocorticoid treatment for the prevention of respiratory distress syndrome in premature infants. Pediatrics 50, 515.Google Scholar
  18. Marieb, E. (1992) Human Anatomy and Physiology, 2nd edn, Benjamin Cummings Publishing Company, California.Google Scholar
  19. Mehta, A., Callan, K., Wright, B. and Stacey, T. (1986) Patient triggered ventilation in the newborn. Lancet ii, 706–12.Google Scholar
  20. Milner, T. and Field, D. (1985) Ventilation in the neonatal period. Care of the Critically Ill 1(6), 14–15.Google Scholar
  21. Noerr, B. (1988) Pointers in practical pharmacology. Tolazoline. Neonatal Nework 8(12), 74–5.Google Scholar
  22. Noerr, B. (1992) Pointers in practical pharmacology. Pancuronium bromide. Neonatal Network 11(2), 77–9.Google Scholar
  23. Noyes, J. (1990) Respiratory failure in infants. Nursing Standard 4(49), 28–30.PubMedGoogle Scholar
  24. Paige, P. (1990) Non-invasive monitoring of the neonatal respiratory system. American Association for Critical Nursing 1(2), 409–21.Google Scholar
  25. Robert, E. and Lefrak, S. (1990) Alternative modes of mechanical ventilation. American Association for Critical Nursing 1(2), 248–59.Google Scholar
  26. Roberton, N. (1986) A Manual of Neonatal Intensive Care, 2nd edn, Edward Arnold, London.Google Scholar
  27. Roberton, N. (1993) A Manual of Neonatal Intensive Care, 3rd edn, Edward Arnold, London.Google Scholar
  28. Runton, N. (1992) Suctioning artificial airways in children: appropriate technique. Pediatric Nursing 2(2), 115–8.Google Scholar
  29. Samuels, M. and Southall, D. (1989) Negative extra thoracic pressure in treatment of respiratory failure in infants and young children. British Medical Journal 229, 1253–7.CrossRefGoogle Scholar
  30. Shah, A., Kurth, C, Gwiazdowski, S. et al. (1992) Fluctuations in cerebral oxygenation and blood volume during endotracheal suctioning in premature infants. Journal of Pediatrics 120(5), 769–74.PubMedCrossRefGoogle Scholar
  31. Shorten, D., Byrne, P. and Jones, R. (1991) Infant Responses to Saline Instillation and Endotracheal Suctioning. Journal of Obstetrics, Gynaecology and Neonatal Nursing 6(2), 464–69.CrossRefGoogle Scholar
  32. Speer, C, Robertson, B., Curstedt, T. et al. (1992) Randomised European multi centre trial of surfactant replacement therapy for severe neonatal respiratory distress syndrome. Single versus multiple doses of Cureosurf. Pediatrics 89(1), 13–20.PubMedGoogle Scholar
  33. Theorell, C. (1990) Congenital diaphragmatic hernia: a physiological approach to management. Journal of Perinatal and Neonatal Nursing 3(3), 66–79.PubMedCrossRefGoogle Scholar
  34. Tolles, C. and Stone, K. (1991) National survey of neonatal endotracheal suctioning practices. Neonatal Network 9(2), 7–14.Google Scholar
  35. Walsh, M. (1989) Making sense of chest drains. Nursing Times 85(24), 40–1.PubMedGoogle Scholar
  36. White, C, Richardson, C. et al. (1990) High frequency ventilation and extracorporeal membrane oxygenation. American Association for Critical Nursing 1(2), 427–44.Google Scholar
  37. Whitten, C. (1989) Anyone Can Intubate: A Practical, Step by Step, Guide for Health Professionals, Medical Arts Press, K-W Publications, San Diego, California.Google Scholar

Further Reading

  1. Tortora, G. and Anagnostakos, N. (1990) Principles of Anatomy and Physiology, 6th edn, Harper and Row, New York.Google Scholar
  2. Williams, P. and Warwick, R. (1980) Gray’s Anatomy, 36th edn, Churchill Livingstone, Edinburgh.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1994

Authors and Affiliations

  • Doreen Crawford

There are no affiliations available

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