Disease category | Primary underlying mechanism |
Airway obstruction | |
Choanal atresia | Hypoventilation |
Laryngotracheomalacia | |
Macroglossia | |
Micrognathia or retrognathia (eg, Pierre-Robin syndrome) | |
Cardiac | |
Congenital cyanotic heart disease | Right-to-left shunting |
Heart failure/pulmonary edema | Impaired alveolar-arterial diffusion and V/Q mismatch |
Hematologic | |
Hemoglobinopathies (eg, methemoglobinemia) | Impaired oxygen saturation |
Polycythemia | Elevated hemoglobin resulting in low oxygen saturation |
Metabolic | |
Severe hypoglycemia | Hypoventilation due to decreased or absent respiratory effort secondary to lethargy, seizures, and/or apnea |
Inborn errors of metabolism | |
Neurologic | |
Central nervous system depression | |
Apnea of prematurity | Hypoventilation |
Infection (eg, meningitis, encephalitis) | |
Intraventricular hemorrhage | |
Maternal sedation | |
Seizure | |
Neuromuscular disorder | |
Neonatal myasthenia gravis | Hypoventilation |
Phrenic nerve injury | |
Spinal muscular atrophy type 1 (Wernig-Hoffman disease) | |
Pulmonary | |
Parenchymal disease | |
Atelectasis | V/Q mismatch |
Alveolar capillary dysplasia | |
Lobar emphysema | |
Pneumonia | |
Pulmonary hypoplasia | |
Pulmonary hemorrhage | |
Respiratory distress syndrome (Hyaline membrane disease) | |
Transient tachypnea of the newborn | |
Pulmonary fibrosis | Impaired alveolar-arterial diffusion |
Pulmonary edema | Impaired alveolar-arterial diffusion and V/Q mismatch |
Nonparenchymal disease | |
Pleural effusion | V/Q mismatch |
Pneumothorax | |
Other | |
Persistent pulmonary hypertension of the newborn | Right-to-left shunting |
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