Keywords
air leak
pneumopericardium
pneumothorax
respiratory distress
prematurity
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
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.
- What do you see in each chest radiograph?
- What is your diagnosis?
- Which procedures are recommended?
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