Najia Al hojaili1*, Attia Al Zahrani2, Ibrahim kotbi3, Helal Almalki4, Amal Zubani5, Laila Alabasi6 and Faisal Dahi7

Our case late preterm 35 weeks. IUGR admitted in NICU as case of late preterm with respiratory distress on noninvasive respiratory support CPAP 5, baby doing well but the problem we cannot wean him from CPAP, he behaves not like 35 weeks, he had a lot of secretion.

Gastroesophageal reflux and esophageal atresia to roll out, baby stayed long time on oxygen take antibiotic and all investigation was done encloud cerebrospinal fluid, urine and blood and serology was sent cystic fibrosis was rollout because the secretion and pneumonia. And vascular ring was rollout, as the baby developed stridor ENT consultant rollout bronchomalacia.

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