Treatment for Respiratory Distress

When a child’s breathing becomes labored and oxygen levels drop, even simple breaths can turn into a critical fight for air. This article will cover the essentials of Respiratory Distress Syndrome (RDS) in children, including its causes, symptoms, risk factors, and treatment. 

Reach out to our experts at After Hours Kids in Austin, Texas, today for more information!

What is RDS?

Respiratory Distress Syndrome (RDS) is a condition where the lungs struggle to deliver enough oxygen to the body, potentially leading to breathing difficulties or even acute respiratory failure.

In children, RDS often results from issues like underdeveloped lungs, lung injury, or an infection, causing problems with lung function. The condition may range from mild breathing difficulties to severe respiratory distress, where specialized care is necessary to restore normal lung function.

What Causes RDS in Children?

The underlying cause of RDS is often linked to the lack of surfactant, a substance that helps keep the air sacs in the lungs open for breathing.

Without sufficient surfactant, the air sacs collapse, leading to inadequate oxygen levels and poor carbon dioxide removal from the body. In other cases, RDS may be associated with lung injury, infections, or conditions that cause fluid buildup in the lungs, impairing breathing.

A child receiving supplemental oxygen for respiratory distress syndrome in Austin, Texas.

What Are the Risk Factors?

Several factors may increase the likelihood of a child developing RDS:

  • Premature birth: Premature infants may have underdeveloped lungs, leading to insufficient surfactant production.
  • Lung infection: Infections such as pneumonia can impair lung function and lead to respiratory distress.
  • Inherited conditions: Certain genetic factors may predispose a child to breathing issues.
  • Trauma or surgery: Lung injury from accidents or surgical procedures can contribute to acute respiratory distress syndrome (ARDS).
  • Conditions that affect oxygen levels: Medical conditions that reduce blood flow to the lungs can increase the risk of RDS.

What Are the Symptoms of RDS in Children?

The signs of RDS may vary in severity, but some common symptoms include:

  • Rapid breathing or difficulty breathing
  • Flaring nostrils while breathing
  • Grunting sounds when exhaling
  • Bluish tint around the lips or fingernails (cyanosis)
  • Chest retractions, where the skin pulls in between the ribs during inhalation
  • Fatigue or lethargy due to difficulty in maintaining oxygen levels

When to Contact a Doctor

Parents should seek immediate medical attention if a child displays signs of respiratory distress, especially if the symptoms worsen or do not improve with time. If a child experiences severe symptoms such as prolonged rapid breathing, signs of acute respiratory failure, or bluish skin, it is crucial to contact a healthcare provider immediately or go to the nearest emergency room.

How is a Child Diagnosed with RDS?

Diagnosing RDS involves a thorough medical evaluation, which may include:

  1. Physical examination: A healthcare professional will assess the child’s breathing and check for physical signs of respiratory distress.
  2. Blood tests: To measure oxygen, carbon dioxide, and blood pressure levels.
  3. Chest X-ray or imaging: These tests can identify any abnormalities in the lungs, such as collapsed air sacs or fluid buildup.
  4. Pulse oximetry: This non-invasive test measures the oxygen levels in the child’s blood.
  5. Blood gas analysis: It helps determine the severity of respiratory distress and the presence of acute respiratory failure.

How is RDS in Children Treated?

Treatment for RDS depends on the severity of the condition. Common approaches include:

  • Oxygen therapy: Supplemental oxygen can help maintain adequate blood oxygen levels.
  • Mechanical ventilation: In cases of severe ARDS, mechanical ventilation may be used to support breathing and maintain enough oxygen delivery.
  • Continuous positive airway pressure (CPAP): This treatment helps keep the air sacs open by delivering a constant flow of air through a mask, improving lung function and preventing collapse.
  • Medications: Steroids and other drugs may be administered to reduce inflammation and improve breathing.
  • Extracorporeal membrane oxygenation (ECMO): For the most severe cases, ECMO may be used in an intensive care unit. This technique temporarily replaces lung function, allowing the lungs time to heal.
  • Surfactant therapy: If RDS is caused by a lack of surfactant, administering surfactant directly into the lungs can help open the air sacs and enhance breathing.

How Do I Know if My Child is Recovering from RDS?

Monitoring recovery involves watching for signs that the child’s breathing is improving and that they are returning to normal activity levels. Indicators of recovery include:

  • Reduction in rapid breathing and breathing effort
  • Stable blood oxygen levels without the need for supplemental oxygen
  • Improved energy levels and alertness
  • A return to regular sleep patterns and eating habits
  • Progress in physical activities without signs of fatigue or breathing difficulty
 

Parents should continue to follow up with their child’s healthcare provider and keep an eye out for any new or recurring symptoms that may need attention.

Helping Your Child Overcome RDS – After Hours Kids Can Help

Early diagnosis and proper breathing treatment are essential for overcoming RDS and preventing complications. 

If you suspect your child may be experiencing respiratory distress or need help managing symptoms, contact After Hours Kids today! Our team in Austin, TX, is here to provide expert care and guidance. Schedule an appointment today to ensure your child gets the best support for their respiratory health.