Severe neonatal air leak syndrome – Question


air leak
respiratory distress

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.


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?