Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report
A 34-year-old woman at 25 weeks 3 days was diagnosed with preterm labor and underwent an emergency cesarean section. The neonate did not cry or show any activity. The heart rate was 80 beats/min and the oxygen saturation on pulse oximetry (SpO2) was 77%. Immediately, positive pressure ventilation wa...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2017-04-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-70-217.pdf |
| _version_ | 1819056258076901376 |
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| author | Eun Mi Kim Ji Yeon Kim |
| author_facet | Eun Mi Kim Ji Yeon Kim |
| author_sort | Eun Mi Kim |
| collection | DOAJ |
| description | A 34-year-old woman at 25 weeks 3 days was diagnosed with preterm labor and underwent an emergency cesarean section. The neonate did not cry or show any activity. The heart rate was 80 beats/min and the oxygen saturation on pulse oximetry (SpO2) was 77%. Immediately, positive pressure ventilation was delivered by T piece resuscitator, and then anesthesiologist performed endotracheal intubation. The neonate demonstrated severe cyanosis and the SpO2 dropped to 30%. Ventilation was not successful even after intubation, and we found neck crepitus, chest wall distension, and severe cyanosis on physical examination. We suspected tension pneumothorax and performed needle thoracentesis. The neonate was stabilized and transferred to the neonatal intensive care unit for further treatment, but expired on the 10th day of life. We report a case of pulmonary air leak developing tension pneumothorax, pneumomediastinum, subcutaneous emphysema in an extremely-low-birth-weight preterm infant immediately after birth. |
| first_indexed | 2024-12-21T13:20:33Z |
| format | Article |
| id | doaj.art-a017c9b4c07d4df2a9b1c1de07eefec2 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-21T13:20:33Z |
| publishDate | 2017-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-a017c9b4c07d4df2a9b1c1de07eefec22022-12-21T19:02:35ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632017-04-0170221722010.4097/kjae.2017.70.2.2178284Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case reportEun Mi Kim0Ji Yeon Kim1Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea.A 34-year-old woman at 25 weeks 3 days was diagnosed with preterm labor and underwent an emergency cesarean section. The neonate did not cry or show any activity. The heart rate was 80 beats/min and the oxygen saturation on pulse oximetry (SpO2) was 77%. Immediately, positive pressure ventilation was delivered by T piece resuscitator, and then anesthesiologist performed endotracheal intubation. The neonate demonstrated severe cyanosis and the SpO2 dropped to 30%. Ventilation was not successful even after intubation, and we found neck crepitus, chest wall distension, and severe cyanosis on physical examination. We suspected tension pneumothorax and performed needle thoracentesis. The neonate was stabilized and transferred to the neonatal intensive care unit for further treatment, but expired on the 10th day of life. We report a case of pulmonary air leak developing tension pneumothorax, pneumomediastinum, subcutaneous emphysema in an extremely-low-birth-weight preterm infant immediately after birth.http://ekja.org/upload/pdf/kjae-70-217.pdfextremely-low-birth-weightpulmonary air leakspontaneous tension pneumothorax |
| spellingShingle | Eun Mi Kim Ji Yeon Kim Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report Korean Journal of Anesthesiology extremely-low-birth-weight pulmonary air leak spontaneous tension pneumothorax |
| title | Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report |
| title_full | Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report |
| title_fullStr | Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report |
| title_full_unstemmed | Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report |
| title_short | Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report |
| title_sort | development of pulmonary air leak in an extremely low birth weight infant without mechanical ventilation a case report |
| topic | extremely-low-birth-weight pulmonary air leak spontaneous tension pneumothorax |
| url | http://ekja.org/upload/pdf/kjae-70-217.pdf |
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