Suprasternal retractions in a child with respiratory distress
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YouTubeProf.Dr.Chakradhar Maddela Neonatologist
Suprasternal retractions in a child with respiratory distress
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Suprasternal Retractions Causes
Can retractions be normal in babies? - TimesMojo
Can retractions be normal in babies? - TimesMojo
timesmojo.com
Jun 8, 2022
I ALWAYS want retractions to be evaluated. But how can parents decide where to take their children? SAME DAY PEDIATRICIAN / URGENT CARE ➡️ Mild subcostal retractions only ➡️Normal color, feeding okay ➡️ Respiratory rate appropriate for age ➡️ No nasal flaring or head bobbing ➡️ Baby settles when calm/asleep When retractions = ER now ➡️ Moderate to severe retractions ➡️ Multiple retraction sites (subcostal intercostal suprasternal) ➡️ Fast breathing that doesn’t improve when calm ➡️ Poor feeding
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I ALWAYS want retractions to be evaluated. But how can parents decide where to take their children? SAME DAY PEDIATRICIAN / URGENT CARE ➡️ Mild subcostal retractions only ➡️Normal color, feeding okay ➡️ Respiratory rate appropriate for age ➡️ No nasal flaring or head bobbing ➡️ Baby settles when calm/asleep When retractions = ER now ➡️ Moderate to severe retractions ➡️ Multiple retraction sites (subcostal intercostal suprasternal) ➡️ Fast breathing that doesn’t improve when calm ➡️ Poor feeding
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Over the next few days we’re going to be looking at retraction examples! More to come in stories! Where to Look ➡️ Neck / suprasternal (above collarbones) ➡️ Intercostal (between ribs) ‼️ Subcostal (below ribs shown in video) ➡️ Tracheal tug (deep pull at the neck) ⚠️ Belly breathing alone is normal in babies. Retractions = skin pulling in, not just the belly moving (check my normal breaths highlight) 🚨 ER NOW (Don’t Wait) ➡️ Moderate to severe retractions (visible at rest, not just when crying
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