Korean J Anesthesiol.  2017 Apr;70(2):217-220. 10.4097/kjae.2017.70.2.217.

Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea. jy67925@naver.com

Abstract

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.

Keyword

Extremely-low-birth-weight; Pulmonary air leak; Spontaneous tension pneumothorax

MeSH Terms

Adult
Cesarean Section
Cyanosis
Emergencies
Female
Heart Rate
Humans
Infant*
Infant, Newborn
Infant, Premature
Intensive Care, Neonatal
Intubation
Intubation, Intratracheal
Mediastinal Emphysema
Neck
Needles
Obstetric Labor, Premature
Oximetry
Oxygen
Parturition
Physical Examination
Pneumothorax
Positive-Pressure Respiration
Pregnancy
Respiration, Artificial*
Subcutaneous Emphysema
Thoracentesis
Thoracic Wall
Ventilation
Oxygen
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