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  3. Pulmonary Hypertension in Newborns: Diagnosis and Management
  • Pulmonologyy

Pulmonary Hypertension in Newborns: Diagnosis and Management

By Rahul Chauhan| Last Updated at: 27th Mar '24| 16 Min Read

In some instances, infants receive insufficient oxygen in their bodies. This condition is called Pulmonary Hypertension. It results from excess pressure build-up in the infant's blood vessels. Studies show 50 - 70 million people worldwide have pulmonary hypertension. This accumulates around 1% of the world's population.


Pulmonary Hypertension can be permanently cured. However, this is not the case in a wide range of patients. Hence, the new treatment of pulmonary hypertension approved by the FDA on 28th June was a significant breakthrough!

It delivered hope to patients who were not getting results from older treatments.

 

More Details on New Treatment for Pulmonary Hypertension

The LungFit PH is the first device to receive FDA approval to treat Pulmonary Hypertension in infants. LungFit PH uses patented technology to generate Nitric Oxide (NO) out of the surrounding air. 
 

LungFit PH generates nitric oxide gas from room air in conjunction with a ventilator to improve oxygenation. It is intended for newborns of at least 34 weeks gestation with persistent pulmonary Hypertension.
 

The NO is passed through a filter to remove the toxic gas Nitrogen Dioxide. The filters require replacement every 12 hours, regardless of ventilator use.
 

This device is designed to administer the gas at current standard dosages for babies with Pulmonary Hypertension.

The average price for 
 

Are there any side effects associated with LungFit PH?

Like any other therapy, this new treatment for pulmonary hypertension has adverse effects. No matter how minimal, you should know them!
 

We have mentioned them below.

Please read them carefully!

The following are some of the known side effects of LungFit PH:

There are many more things you should know before considering a treatment. We have discussed them below.

So please pay attention!

Are you wondering about the relation between Pulmonary edema and pulmonary hypertension?

Pulmonary edema is the accumulation of fluids in the lungs that leads to breathing difficulty, cough, and frothy sputum. In some cases of severe and untreated pulmonary hypertension, the increased pressure in the pulmonary arteries causes a backup of blood in the lungs. And this increased pressure can lead to fluid leakage from the small blood vessels in the lungs, which results in pulmonary edema.


What should the patients know before considering LungFit PH?

You should remember the following before considering the new treatment for Pulmonary Hypertension:

  • Sudden discontinuation of treatment may lead to worsening oxygenation and increasing pulmonary artery pressure, i.e., Rebound Pulmonary Hypertension Syndrome. 
  • Rebound Pulmonary Hypertension Syndrome signs include systemic hypotension, hypoxemia, bradycardia, and decreased cardiac output. If Rebound Pulmonary Hypertension occurs, reinstate NO therapy immediately.
  • The NO from the LungFit PH is not advisable in neonates dependent on right-to-left blood flow in the heart chambers.
  • LungFit is not indicated for adults. Its safety and efficacy are not known in adults.

References:

https://www.fda.gov/

https://www.nsmedicaldevices.com/

https://jamanetwork.com/

https://pulmonaryhypertensionnews.com/

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Question and Answers

I am having cough which looks more allergic. And phlegm and wheezing sound only appears when I coughs. It's like someone is choking you when you have the cough. It really hurts my throat and head while coughing. And sometimes maybe due to my panic, cough results in cough syncope. I also have antral gastritis. I have been diagnosed with bronchitis 6 months back. My chest Xray shows only small prominence in right lungs and rest is normal. CT is normal, XRay is normal. Only my TLC count is elavated to 17000 and however eosphil and basophil count is normal. I am slightly anemic. According to my doc, my body is unable to absorb iron. My O2 and BP all are normal during my cough episode. However, I feel tremor throughout my body and sometimes my hands and legs become pale while I cough. I am perfectly normal if I don't have the cough episodes. I also has slight GERD maybe due to antral gastritis.

Female | 18

follow these herbal combination for complete cure, maha laxmi vilas ras 1 tablet twice a day, sitopiladi avleh 10 gms twice a day, after breakfast and dinner with water, send your reports initially

Answered on 11th Aug '24

Read answer

Bronchovesicular prominance i peri hillar and lower zone seen... Symptoms stuffy nose sometimes running m and no other symptoms plzz help me doctor m to scared

Male | 21

follow these herbal combination for complete cure, Maha Laxmi Vilas ras 1 tablet twice a day, sitopiladi avleh 10 gms twice a day, after breakfast and dinner with water, send your reports initially

Answered on 11th Aug '24

Read answer

I have a hole in my septum should I see a doctor I have no breathing problems but I'm afraid it could get worse

Male | 32

send your x-ray report initially

Answered on 11th Aug '24

Read answer

I am 41 year old. I recently had cough and cold then I took some drugs. Though the cough is gone, but for some days now anytime I cough my breath ceases

Male | 41

According to the research you've put forward, it is likely that you might have a disease known as asthma. Wheezing can occur during a cough when asthmatic patients have trouble breathing. This is a result of opened, inflamed, and tightened air tubes. In addition to coughing, other symptoms may include wheezing and chest tightness. One of the ways to cope is by staying away from irritants such as smoke or dust.

Answered on 9th Aug '24

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