What happens in hyaline membrane disease?
When there is not enough surfactant, the tiny alveoli collapse with each breath. As the alveoli collapse, damaged cells collect in the airways, which makes it even harder to breath. These cells are called hyaline membranes. Your baby works harder and harder at breathing, trying to re-inflate the collapsed airways.
What causes hyaline membrane disease?
Hyaline membrane disease is now commonly called respiratory distress syndrome (RDS). It is caused by a deficiency of a molecule called surfactant. RDS almost always occurs in newborns born before 37 weeks of gestation. The more premature the baby is, the greater is the chance of developing RDS.
What is ground glass appearance in RDS?
Infants with RDS typically have small lung volumes (although late preterm infants have sufficient respiratory muscle strength to maintain normal lung volumes early in the course of the disease) and a reticular granular pattern (“ground glass”) appearance of the lung fields with air bronchograms (Figure 1).
What does RDS look like on an xray?
An X-ray of a preemie with RDS will likely show: small lung volume. air bronchograms or air in the airways of the lung that are black in comparison to the surrounding white areas that do not contain air. granular-looking areas on the lung where the lung resembles white salt and black pepper being sprinkled on the film.
Is hyaline membrane disease hereditary?
Aside from the degree of prematurity, diverse environmental and genetic factors can affect the development of RDS. The variance of the risk of RDS in various races/ethnicities or monozygotic/dizygotic twins has suggested genetic influences on this disorder.
What is a ground glass?
Ground glass is glass whose surface has been ground to produce a flat but rough (matte) finish, in which the glass is in small sharp fragments. Ground glass surfaces have many applications, ranging from ornamentation on windows and table glassware to scientific uses in optics and laboratory glassware.
What is the difference between RDS and TTN?
TTN = transient tachypnea of the newborn; RDS = respiratory distress syndrome; MAS = meconium aspiration syndrome.
What is Reticulogranular pattern?
A reticulogranular pattern, or ground glass appearance, uniformly distributed throughout both lung fields is. characteristic of RDS. Because of surfactant deficiency, alveoli.
How is hyaline membrane disease diagnosed?
RDS is usually diagnosed by a combination of the following: Baby’s appearance, color, and breathing efforts. These can point to a baby’s need for help with breathing. Chest X-rays of the lungs.
How long does respiratory distress syndrome last?
The condition often gets worse for 2 to 4 days after birth and improves slowly after that. Some infants with severe respiratory distress syndrome will die. This most often occurs between days 2 and 7.