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Respiratory System

Transient Tachypnea of the Newborn (TTN/TTNB)

Benign self-limiting disease occurring usually in term neonates due to delayed clearance of lung fluid.

Cover image: A baby suffering from TTN | (2013) World Prematurity Day. [online] Weberfamilylife2.blogspot.in. Available at: http://weberfamilylife2.blogspot.in/2013/11/world-prematurity-day.html [Accessed 24 Apr. 2017]

Benign self-limiting disease occurring usually in term neonates due to delayed clearance of lung fluid.


Etiology

Risk factors:

Risk factors associated with transient tachypnea of newborn
Risk factors associated with transient tachypnea of newborn | Phillips, D., Barker, D., Fall, C., Whorwood, C., Walker, B. and Wood, P. (2000) ‘The fetal and neonatal hypothalamic–pituitary–adrenal axis’, J Endocrinol. BMJ Publishing Group, 152(5), p. P2. doi: 10.1210/JC.77.5.1174

Clinical features

Tachypnea with minimal or no respiratory distress

Transient tachypnea of the newborn.
Transient tachypnea of the newborn. A, Excessive bronchial secretions and pulmonary capillary congestion. B, Cross-section of alveolus with interstitial edema. | Clinical Gate. (2015). Transient Tachypnea of the Newborn. [online] Available at: http://clinicalgate.com/transient-tachypnea-of-the-newborn/ [Accessed 24 Apr. 2017]

Diagnosis

Chest X-ray:

  • Hyperexpanded lung fields
  • Prominent vascular marking
  • Prominent interlobar fissure
Radiographs of two babies who have transient tachypnea of the newborn of differing severity
Radiographs of two babies who have transient tachypnea of the newborn of differing severity. Note the streaky lung opacities and fluid in the minor fissure on the right side. | Phillips, D., Barker, D., Fall, C., Whorwood, C., Walker, B. and Wood, P. (2000) ‘The fetal and neonatal hypothalamic–pituitary–adrenal axis’, J Endocrinol. BMJ Publishing Group, 152(5), p. P2. doi: 10.1210/JC.77.5.1174

Management

  • Oxygen therapy

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