Severe neonatal air leak syndrome – Question
Vol. 8 No. 1 (2019), Articles
Vol. 8 No. 1 (2019)

Severe neonatal air leak syndrome – Question

Articles
https://doi.org/10.7363/080121
Published 2019-03-25
Catarina Matos de Figueiredo
Neonatal Intensive Care Unit, Neonatal and Pediatric Intensive Care Department, Centro Materno Infantil do Norte – Centro Hospitalar do Porto, Oporto, Portugal
Jorge Abreu Ferreira
Neonatal Intensive Care Unit, Neonatal and Pediatric Intensive Care Department, Centro Materno Infantil do Norte – Centro Hospitalar do Porto, Oporto, Portugal
Ana Cristina Freitas
Neonatal Intensive Care Unit, Neonatal and Pediatric Intensive Care Department, Centro Materno Infantil do Norte – Centro Hospitalar do Porto, Oporto, Portugal
Ana Novo
Neonatal Intensive Care Unit, Neonatal and Pediatric Intensive Care Department, Centro Materno Infantil do Norte – Centro Hospitalar do Porto, Oporto, Portugal
Elisa Proença
Neonatal Intensive Care Unit, Neonatal and Pediatric Intensive Care Department, Centro Materno Infantil do Norte – Centro Hospitalar do Porto, Oporto, Portugal
Carmen Carvalho
Neonatal Intensive Care Unit, Neonatal and Pediatric Intensive Care Department, Centro Materno Infantil do Norte – Centro Hospitalar do Porto, Oporto, Portugal
Luísa Neiva Araújo
Neonatal Intensive Care Unit, Neonatal and Pediatric Intensive Care Department, Centro Materno Infantil do Norte – Centro Hospitalar do Porto, Oporto, Portugal
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Keywords

air leak
pneumopericardium
pneumothorax
respiratory distress
prematurity

How to Cite

Matos de Figueiredo, C., Abreu Ferreira, J., Freitas, A. C., Novo, A., Proença, E., Carvalho, C., & Neiva Araújo, L. (2019). Severe neonatal air leak syndrome – Question. Journal of Pediatric and Neonatal Individualized Medicine (JPNIM), 8(1), e080121. https://doi.org/10.7363/080121
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Abstract

Female neonate born at 29+4 gestational weeks by spontaneous vaginal delivery to a 37-year-old mother, with adequate prenatal surveillance and an uneventful pregnancy. Prophylactic antibiotics, tocolytic therapy and a single dose of steroids were given before birth. She was born with very low birth weight (1,440 grams) and with an Apgar score of 8 and 9 (first and fifth minutes, respectively). She was admitted in the Neonatal Intensive Care Unit and maintained on nCPAP due to mild respiratory distress. Within 4 hours she developed progressive respiratory insufficiency, without cardiovascular collapse.

Three chest X-rays are presented.

  1. What do you see in each chest radiograph?
  2. What is your diagnosis?
  3. Which procedures are recommended?
https://doi.org/10.7363/080121
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