Document Detail


Systemic air embolism in a very-low-birth weight neonate treated with synthetic surfactant.
MedLine Citation:
PMID:  8935416     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 Many air bubbles were withdrawn from the arterial line.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.
Authors:
M Y Lu; T J Wu; M M Ho
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Zhonghua Minguo xiao er ke yi xue hui za zhi [Journal]. Zhonghua Minguo xiao er ke yi xue hui     Volume:  37     ISSN:  0001-6578     ISO Abbreviation:  Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1996-12-31     Completed Date:  1996-12-31     Revised Date:  2008-02-12    
Medline Journal Info:
Nlm Unique ID:  16210470R     Medline TA:  Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  142-4     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, National Taiwan University Hospital, Taipei, R.O.C.
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MeSH Terms
Descriptor/Qualifier:
Embolism, Air / etiology*,  radiography
Fatal Outcome
Humans
Infant, Newborn
Infant, Very Low Birth Weight*
Male
Positive-Pressure Respiration
Pulmonary Surfactants / administration & dosage*
Respiratory Distress Syndrome, Newborn / radiography,  therapy*
Ventilator Weaning
Chemical
Reg. No./Substance:
0/Pulmonary Surfactants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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