Pediatric Respiratory Disorders

Respiratory disorders in infants and children are challenging problems for every clinician involved in the management of these patients. This book summarises recent advances in paediatric pulmonology. Neonatal respiratory conditions can arise for several reasons: delayed adaptation or maladaptation to extra-uterine life, existing conditions like surgical or nonheritable anomalies or from nonheritable conditions like pulmonary infections occurring either pre- or post-delivery. Respiratory conditions are the most common reason for admission to a neonatal unit in both term and preterm infants. The ability of the newborn baby to adapt to the extra-uterine atmosphere is crucial to survival. All systems of the body undergo important physiological changes at the time of delivery. Arguably none is additional crucial to survival than the adaption of the lungs. In utero, the foetus receives a continuing provide of oxygen and nutrients via the placenta and umbilical vessels, with dioxide excretion conjointly managed via the maternal circulation. The lungs are filled with fluid secreted by the respiratory epithelium which is important for promoting lung growth. Some congenital malformations of the lungs or airways may not affect the fetus or its development in utero, even anomalies incompatible with extra-uterine life.

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