American Journal of Perinatology Reports (Jan 2022)

Respiratory and Gastrointestinal Management of an Infant with a Birth Weight of 258 Grams

  • Ryo Itoshima,
  • Arata Oda,
  • Ryo Ogawa,
  • Toshimitsu Yanagisawa,
  • Takehiko Hiroma,
  • Tomohiko Nakamura

DOI
https://doi.org/10.1055/a-1678-3755
Journal volume & issue
Vol. 12, no. 01
pp. e89 – e95

Abstract

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Today, more infants weighing less than or equal to 300 g are born, and they survive because of the improvements in neonatal care and treatment. However, their detailed clinical course and neonatal intensive care unit management remain unknown due to their low survival rate and dearth of reports. A male infant was born at 24 weeks and 5 days of gestation and weighed 258 g. The infant received 72 days of invasive and 92 days of noninvasive respiratory support, including high-frequency oscillatory ventilation with volume guarantee and noninvasive neurally adjusted ventilatory assist. Meconium-related ileus was safely treated using diatrizoate. Although the infant was diagnosed with severe bronchopulmonary dysplasia and retinopathy of prematurity requiring laser photocoagulation, he had no other severe complications. He was discharged 201 days postdelivery (3 months of corrected age) with a weight of 3.396 kg. Although managing infants weighing less than or equal to 300 g is difficult, our experience shows that it is possible by combining traditional and modern management methods. The management of such infants requires an understanding of the expected difficulties and adaptation of existing methods to their management. The management techniques described here should help improve their survival and long-term prognosis.

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