Neonatal Respiratory Care

Neonatal Respiratory Care is central to stabilising newborns with respiratory distress, prematurity-related lung disease, airway anomalies, or systemic illness. This session explores evidence-based respiratory strategies, device selection, monitoring, and long-term follow-up.

Clinicians frequently attend an Neonatology Conference to enhance skills in CPAP management, HFNC therapy, mechanical ventilation, surfactant therapy, airway clearance, and oxygen-weaning strategies. Participants will explore how to interpret work of breathing, oxygen trends, blood gases, and ventilation parameters in preterm and term infants.

A major focus is developing coordinated pediatric neonatal respiratory pathways that guide escalation, de-escalation, and safe transport. Case examples illustrate management of RDS, TTN, PPHN, meconium aspiration, infection-related respiratory failure, and evolving BPD.

The session also emphasises developmental considerations, including minimising ventilator-induced lung injury, supporting skin-to-skin care during respiratory support, and integrating nutrition and thermoregulation for respiratory stability. Equity issues include device availability, training variability, and global disparities in oxygen access.

Core Themes in Neonatal Respiratory Care

Assessment of respiratory distress

  • Recognising clinical signs and interpreting physiologic indicators.
  • Assessing severity and determining appropriate support levels.

Non-invasive respiratory strategies

  • Using CPAP, HFNC, and NIPPV to reduce need for intubation.
  • Adjusting settings based on lung mechanics and monitoring.

Mechanical ventilation and surfactant therapy

  • Choosing ventilation modes suited to infant physiology.
  • Administering surfactant and monitoring response.

Airway management and safety

  • Supporting airway patency and performing safe intubations.
  • Preventing complications from invasive devices.

Practice Insights and Care Coordination

Designing respiratory algorithms
Creating structured pathways for escalation and de-escalation.

Strengthening team training
Ensuring skill competence in ventilation, airway management, and emergency response.

Integrating family-centred care
Allowing parental presence, touch, and involvement during respiratory support.

Monitoring long-term outcomes
Tracking BPD risk, growth, and neurodevelopment.

 

Improving access in resource-limited settings
Using cost-effective devices and local training programmes.

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