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Images in neonatal medicine
Resuscitation of a preterm infant with massive air embolism
  1. Roland Hentschel1,
  2. Christoph Müller1,
  3. Simone Hock1,
  4. Markus Uhl2
  1. 1 Neonatology/Pediatric Intensive Care, Medical Center and Faculty of Medicine, University of Freiburg, Universitaetsklinikum Freiburg, Zentrum fuer Kinder-und Jugendmedizin, Freiburg, Germany
  2. 2 Radiology, Medical Center and Faculty of Medicine, University of Freiburg, Universitaetsklinikum Freiburg, Zentrum fuer Kinder-und Jugendmedizin, Freiburg, Germany
  1. Correspondence to Professor Roland Hentschel, Medical Center and Faculty of Medicine, University of Freiburg, Universitaetsklinikum Freiburg, Zentrum fuer Kinder- und Jugendmedizin, Division Neonatology/Pediatric Intensive Care, 79106 Freiburg, Germany; roland.hentschel{at}uniklinik-freiburg.de

https://doi.org/10.1136/archdischild-2020-320532

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    Immediately after surfactant administration, a ventilated preterm male infant of 27 weeks g.a. developed massive pulmonary obstruction, apparent from the ventilator’s display, loss of pulse wave from the arterial umbilical catheter, severe bradycardia, extreme pallor of the legs and cyanotic appearance of the abdomen. Chest compression was started instantaneously, and emergency X-ray revealed massive air embolism with ingress of gas into all cardiac cavities and surrounding great vessels (figure 1). Immediate aspiration yielded 3 mL gas through the …

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    Footnotes

    • Contributors RH wrote the initial manuscript. CM and SH were involved in the preparation of the final manuscript. MU provided input on the images. All contributors were involved in the care of the patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.