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Pulmonary, Critical Care, and Sleep Pearls |

A Newborn Infant With Oxygen Desaturation During Sleep

Ashley Deschamp, MD; Ameet Daftary, MD
Author and Funding Information

Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Hospital for Children at Indiana University Health, Indianapolis, IN

CORRESPONDENCE TO: Ashley Deschamp, MD, Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Hospital for Children at Indiana University Health, 705 Riley Hospital Dr, ROC 4270, Indianapolis, IN 46202-5225


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2017;151(1):e17-e20. doi:10.1016/j.chest.2016.08.1435
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The patient is a 1-week-old boy born at 37+2 weeks' gestational age through spontaneous vaginal delivery. The pregnancy was complicated by maternal gestational diabetes mellitus and pre-eclampsia. The Apgar score was 9 at both 1 minute and 5 minutes after birth. Because of hypoglycemia at delivery that required IV dextrose, he was admitted to the local neonatal intensive care unit. His blood glucose levels quickly stabilized, dextrose administration was discontinued, and the patient began breast-feeding. On day 2 of life, the patient began having intermittent oxygen desaturation, with oxygen saturation as measured by pulse oximetry down to 70% while sleeping; he was transferred to a tertiary-care NICU for further management. Aside from the hypoxia, he was otherwise asymptomatic. He was breast-feeding without difficulty and had no vomiting or gastroesophageal reflux; no cyanosis, stridor, or snoring; and no seizure-like activity or hypertonicity.

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