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Year : 2020  |  Volume : 13  |  Issue : 2  |  Page : 175-178

Dry lung syndrome: The positive end of the oligohydramnios spectrum

1 Department of Neonatology, Duke NUS Medical School, National University of Singapore, Singapore
2 Department of Neonatology, Duke NUS Medical School; Department of Neonatology, Yong Loo Lin School of Medicine, National University of Singapore; Department of Neonatology, Lee Kong Chian School of Medicine Nanyang Technological University, Singapore

Correspondence Address:
Simrita Kaur Khurana
Department of Neonatology, KK Women's and Childrenfs Hospital, 100 Bukit Timah Road, 229899
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_218_19

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Oligohydramnios secondary to mid-trimester preterm premature rupture of the membranes can result in a range of abnormalities from functional hypoplasia of the lungs to structural hypoplasia and fetal compression syndrome. Here, we discuss two infants born at 24-week gestation with a history of severe oligohydramnios requiring extensive resuscitation with high ventilation pressures at birth. One had dry lung syndrome (DLS) and after adequate resuscitation did well. The second case had severe pulmonary hypoplasia complicated by recurrent air leaks and succumbed to it. Management of DLS is primarily supportive; these neonates require adequate respiratory support to open the collapsed airway at birth and optimal ventilation in the early neonatal period to facilitate smooth recovery.

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