Neonatal Respiratory Distress

6.8.1 What is the difference between stridor and stertor?

6.8.2 Describe the signs and symptoms associated with varying levels of airway obstruction beginning at the nose and ending at the bronchioles.

6.8.3 What are Poiseuille’s law, the Venturi Principle and Bernoulli’s principle? How do these relate to a newborn in respiratory distress?

6.8.4 Discuss the diagnosis and management of choanal atresia.

6.8.5 Laryngomalacia. Discuss clinical presentation, endoscopic exam, management and expected course.

6.8.6 Describe the different vascular etiologies of tracheal obstruction.

6.8.7 You are called to the NICU to evaluate a term newborn with “noisy breathing”. What information do you want to gather by history and physical?

6.8.8 The above resident calls you in a panic. The baby’s stridor is worsening. Can you help work up the patient?

6.8.9 The above two junior residents need your chiefly expertise. The newborn has bilateral vocal fold paralysis. What does the evaluation and management of neonatal bilateral vocal fold paralysis involve?

6.8.10 Your favorite pediatrician consults you for a congenital nasal mass. Describe the possibilities and management strategies.

6.8.11 A 6 week old with progressive stridor is referred to your office. On FFL, you see pink smooth sessile mass arising from the lateral wall of the subglottis. You suspect a subglottic hemangioma. What do tell the very anxious parents about this problem and how are you going to take care of it?

6.8.12 While in the NICU, you notice a pediatrics resident intubating a newborn with a 4.0 cuffed ETT. Describe proper selection of ETT and potential complications of ETT’s in the pediatric population.

6.8.13 When would you consider a cricoid split in a neonate? Any contraindications? How is it performed?