If parents want aggressive care, provide whatever support is needed for at least the first 3 to 4 days because there are infants who will require high levels of support and then begin to improve
Managing Advanced Chronic Kidney Disease: Cincinnati Fetal Center
▶Ep 1 · 1:33
quoteyeah, but all that's important, but it doesn't matter if the patient is not a pulmonary survivor↗
▶Ep 1 · 2:42
clinicalIf amniotic fluid levels are returned to normal through replacement, the likelihood of becoming a pulmonary survivor increases significantly to around 80%↗
▶Ep 1 · 3:08
clinicalIf amniotic fluid levels are not returned to normal, the outcome is poor↗
▶Ep 1 · 3:48
clinicalJust because an infant survives out of the delivery room does not necessarily mean they are a pulmonary survivor↗
▶Ep 1 · 4:34
clinicalAll patients with bladder outlet obstruction are at extreme risk of sepsis and developing pulmonary lung injury from that↗
▶Ep 1 · 5:33
clinicalJust because you are a pulmonary survivor does not mean that you're normal from a respiratory standpoint - reserve lung function is not normal↗
▶Ep 1 · 6:00
clinicalBabies with renal problems who had normal amniotic fluid after replacement can develop chronic lung disease after delivery, evidence that they are not normal from a respiratory standpoint↗
▶Ep 1 · 27:09
clinicalA baby who comes out with normal oxygen saturations and never requires oxygen is a great sign, but it's not an absolute sign and unfortunately it's not a frequent sign either↗
▶Ep 1 · 27:19
clinicalThese babies will often require respiratory support of some type in the delivery room, even the ones that will go on to be a pulmonary survivor↗
▶Ep 1 · 27:46
guidelineIf parents want aggressive care, provide whatever support is needed for at least the first 3 to 4 days because there are infants who will require high levels of support and then begin to improve↗
▶Ep 1 · 28:10
clinicalAfter the first 3 to 4 days, if the baby is not showing signs of stabilizing and improving, you have to discuss the reality that this infant is likely not a pulmonary survivor↗
▶Ep 1 · 28:44
clinicalEven if you make it through the first few days, you may have to come back to the pulmonary survival question down the road, most frequently in the settings of sepsis↗
▶Ep 1 · 29:14
clinicalYou have two times when the pulmonary survival question becomes answered: the first 3 to 4 days of life, and then anytime you have an episode of lung injury from sepsis or something like that↗
