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Systemic air embolism in a very-low-birth weight neonate treated with synthetic surfactant. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1996;37(2):142-4

Date

03/01/1996

Pubmed ID

8935416

Scopus ID

2-s2.0-0030092918 (requires institutional sign-in at Scopus site)

Abstract

Systemic air embolism is a rare but fatal complication of the ventilatory support. We reported a case with this complication after surfactant therapy. This 1175 gm neonate was born at the gestational age of 28 weeks. Endotracheal intubation was performed after birth for positive pressure ventilation. Surfactant therapies (Exosurf Neonatal) were given at two and fourteen hours of age. The ventilator settings were gradually weaned. Unfortunately, tachycardia, hypotension, pallor and O2 desaturation developed at thirty-nine hours of age. Many air bubbles were withdrawn from the arterial line. The chest radiography showed lucency in the heart and major vessels. The neonate died twenty-one hours later, despite aggressive resuscitation.

Author List

Lu MY, Wu TJ, Ho MM

Author

Tzong-Jin Wu MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Embolism, Air
Fatal Outcome
Humans
Infant, Newborn
Infant, Very Low Birth Weight
Male
Positive-Pressure Respiration
Pulmonary Surfactants
Radiography
Respiratory Distress Syndrome, Newborn
Ventilator Weaning