Neonatal respiratory distress syndrome Quiz: Ace Your Exams
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An infant is delivered by c-section at 29 weeks' gestation due to decreased fetal movement and develops respiratory distress within minutes of delivery. The pregnancy was uncomplicated. The patient received appropriate prenatal care, and maternal prenatal labs were negative. The parent received two doses of betamethasone before delivery. The infant is intubated and stabilized in the delivery room before transferring to the neonatal intensive care unit (NICU). Temperature is 37°C (98.6°F), pulse is 145/min, respirations are 34/min, and oxygen saturation is 93% on mechanical ventilation. On physical examination, eyes are closed, the endotracheal tube is taped in place, and an umbilical vein catheter is in place. Breath sounds are decreased bilaterally with faint crackles bilaterally. Cardiac examination is unremarkable. Chest x-ray shows low lung volumes and ground glass opacities with air bronchograms bilaterally. Which of the following is the best next step in management?
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