23rd September 2021

A 3-day old neonatal male has developed tachycardia and tachypnoea on the postnatal ward

A 3-day old neonatal male has developed tachycardia and tachypnoea on the postnatal ward. He was well prior to this. He was born at 40 weeks via Caesarean section, with no complications during the pregnancy or delivery. There is no significant family history. Of note on examination, he demonstrates an increased work of breathing, the femoral pulses are weak, and there is a significant difference in systolic blood pressure between the upper and lower extremities.

Which of the following is the most appropriate immediate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.