[Show abstract][Hide abstract] ABSTRACT: Rare lung diseases include a wide spectrum of conditions and are important causes of morbidity and mortality in newborn babies and infants. Despite the low incidence of these conditions, neonatologists are likely to encounter these disorders because they present with respiratory distress. For intensive care staff, radiologists, pathologists, and surgeons, the management and care of newborns affected by these diseases can require considerable time and resources within a tertiary care center. Embryological, pathological, surgical, antenatal and pediatric classifications for rare lung diseases have been reported [1–3]. The causes of rare respiratory diseases in neonates may be classified as: (a) Bronchial ultrastructural anomalies (e.g., primary ciliary dyskinesia [Kartagener’s syndrome]), parenchymal molecular defects (e.g., congenital surfactant protein abnormalities), vascular malformations (e.g., congenital pulmonary lymphangiectasia and alveolar capillary dysplasia); (b) Developmental parenchymal abnormalities (e.g., pulmonary hypoplasia and cystic lung diseases [Table 66.1]).
[Show abstract][Hide abstract] ABSTRACT: The organization of perinatal care has been a pivotal mean for improvement in neonatal survivals. Despite the excellent standard of assistance in Lombardy, Obstetrics and Neonatal Units of MBBM Foundation-Monza, Manzoni Hospital-Lecco and Niguarda Hospital-Milan put forward a pilot project proposing reorganization of perinatal care in the northern part of Lombardy. The main goals of the project are implementation of maternal transport system and use of neonatal back transport as a system to increase the availability of intensive care beds. The project's fundamental steps and critical points will be discussed.
No preview · Article · Oct 2011 · The journal of maternal-fetal & neonatal medicine: the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians