DS is a 3 month old male triplet born at 30 weeks who presented to the PICU with

Question

DS is a 3 month old male triplet born at 30 weeks who presented to the PICU with acute respiratory failure in the setting of bronchiolitis. He has had rhinorrhea for the past week. He has thickened mucous, decreased PO, and developed increased WOB. He was taken to an outside hospital and started on HFNC, antibiotics, and MIFV. Also got a CXR. When the HFNC air flow was reduced from 12L/min to 8L/min, patient suffered L lung collapse. He’s given intrapulmonary percussive ventilation and the lung recovered. Patient is diagnosed to have RSV infection.
1) An RSV infection is a common cold for adults, but it’s a life-threatening emergency for this baby. Why is that? Make sure your answer includes some technical terms such as “resistance” and “bronchoconstriction”.

2) Why does his lung collapse?

3) If you measured this patient’s Tidal Volume, Vital Capacity, Respiratory Rate, and Minute Ventilation under normal conditions and compared them to the those measurements during his illness, how would they compare?

Explanation / Answer

Ans- 1) RSV infection is life threatening in baby as it increases the symptoms of Pneumonia or bronchiolitis. And when the babies are premature then it affects them more and affetc their respiratory system. It is highly contagious and spread through drops, cough and sneezing.

Ans-2) Lung collapses due to bronchiolitis or pneumonia. As it has an effect on respiratory system.

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