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Am J Perinatol 2009; 26(5): 393-397
DOI: 10.1055/s-0029-1214236
© Thieme Medical Publishers
DOI: 10.1055/s-0029-1214236
Air Embolism in the Newborn: Rare Complication of Intensive Care Therapy in Children
Further Information
Publication History
Publication Date:
06 March 2009 (online)
ABSTRACT
Systemic air embolism in neonates, either premature or full term, necessitating mechanical ventilation is a devastating and usually fatal condition. We describe three cases of this complication, two in mechanically assisted preterm babies, and one in a full-term dysmorphic patient. Causes and possible management are described.
KEYWORDS
Systemic air embolism - premature - mechanical ventilation - complications of mechanical ventilation
REFERENCES
- 1 Gwinn J L, Lee F A, Weinberger H D. Radiological case of the month: massive air embolism. Am J Dis Child. 1973; 126 63-64
- 2 Ponté C, Remy J, Lequien P. Spontaneous air embolism in the newborn: a complication of pulmonary interstitial emphysema. Pediatr Radiol. 1974; 2 231-234
- 3 Shook D R, Cram K B, Williams H J. Pulmonary venous air embolism in hyaline membrane disease. Am J Roentgenol Radium Ther Nucl Med. 1975; 125 538-542
- 4 Kogutt M S. Systemic air embolism secondary to respiratory therapy in the neonate: six cases including one survivor. Am J Roentgenol. 1978; 131 425-429
- 5 Oppermann H C, Wille L, Obladen M, Richter E. Systemic air embolism in the respiratory distress syndrome of the newborn. Pediatr Radiol. 1979; 8 139-145
- 6 Weiner J H, Kliegman R M, Fanaroff A A, Carlo W A. Pulmonary venous air embolism in the neonate. Crit Care Med. 1986; 14 67-69
- 7 Bollinger B, Vinther S. Systemic air embolism in the neonate. Pediatr Radiol. 1988; 19 52
- 8 Richter A, Tegtmeyer F K, Möller J. Air embolism and pulmonary interstitial emphysema in a preterm infant with hyaline membrane disease. Pediatr Radiol. 1991; 21 521-522
- 9 Sizun J, Giroux J D, Rubio S, Thoma M, Colin A, Alix D. Embolie gazeuse létale d'origine pulmonaire chez un nouveau-né atteinte de maladie des membranes hyalines (cas radiologique du mois). Arch Fr Pediatr. 1992; 49 819-820
- 10 Birenbaum H J, Armiger J. Neonatal radiology casebook. Massive systemic air embolism in a low birth weight infant. J Perinatol. 1996; 16 142-143
- 11 Shah V, Martin N. Systemic air embolism in respiratory distress syndrome. Indian J Pediatr. 1996; 63 809-812
- 12 Smith J, Els I. Intracardiac air: the “hospital killer” identified? Case reports and review of the literature. S Afr Med J. 2003; 93 922-927
- 13 Yikilmaz A, Lee E Y. Massive air embolism in a newborn. Pediatr Radiol. 2007; 37 607
- 14 Miller T. Systemic air embolism in necrotizing enterocolitis. AJR Am J Roentgenol. 1979; 132 322
- 15 Daneman A, Woodward S, de Silva M. The radiology of neonatal necrotizing enterocolitis (NEC) A review of 47 cases and the literature. Pediatr Radiol. 1978; 7 70-77
- 16 Mante M, Rossi J, Champey J C, Favier O. Aéroportie post-traumatique de l'enfant. Ann Radiol (Paris). 1992; 35 222-224
- 17 The International Neonatal Network . The CRIB (Clinical Risk Index for Babies) score: a tool for assessing initial neonatal risk and comparing performance of neonatal intensive care units. Lancet. 1993; 342 193-198
- 18 Savani R C, Merten D F, Brazy J E. Air embolism with survival in a neonate. Pediatr Radiol. 1990; 20 480-482
- 19 Kumar P, Ostrea Jr E M. Ventilatory management casebook. Systemic air embolism: a potential fatal complication of ventilator therapy. J Perinatol. 1995; 15 341-343
- 20 Laskey A L, Dyer C, Tobias J D. Venous air embolism during home infusion therapy. Pediatrics. 2002; 109 E15
- 21 Tan G H, Sussmane J B. Massive air embolism in a neonate with pulmonary hypoplasia. N Engl J Med. 2002; 346 751
- 22 Wald M, Kirchner L, Lawrenz K, Amann G. Fatal air embolism in an extremely low birth weight infant: can it be caused by intravenous injection during resuscitation?. Intensive Care Med. 2003; 29 630-633
- 23 Sowell M W, Lovelady C L, Brogdon B G, Wecht C H. Infant death due to air embolism from peripheral venous infusion. J Forensic Sci. 2007; 52 183-186
- 24 Daneman A, Abou-Reslan W, Jarrin J, Traubici J, Hellmann J. Sonographic appearance of cerebral vascular air embolism in neonates: report of two cases. Can Assoc Radiol J. 2003; 54 114-117
- 25 Al-Hathlol K, Al-Mane K, Al-Hathal M, Al-Tawil K, Abulaimoun B. Air emboli in the intracranial venous sinuses of neonates. Am J Perinatol. 2002; 19 55-58
- 26 Macklin M T, Macklin C C. Malignant interstitial emphysema of the lung and mediastinum as an important complication in many respiratory diseases and other conditions. Medicine. 1944; 23 281-358
- 27 Booth T N, Royal S A, Allen B A. Lymphatic air embolism: a new hypothesis regarding the pathogenesis of neonatal systemic air embolism. Pediatr Radiol. 1995; 25 S220-S227
- 28 Royal S A. Massive air embolism in a newborn. Pediatr Radiol. 2007; 37 1060
- 29 Leicht C H, Waldman J. Pulmonary air embolism in the pediatric patient undergoing central catheter placement. A report of two cases. Anesthesiology. 1986; 64 519-521
- 30 Quisling R G, Poznanski A K, Roloff D W, Borer R C. Postmortem gas accumulation in premature infants. Radiology. 1974; 113 155-159
- 31 Bennet R. Unequivocal radiological evidence of intra-uterine foetal death, including demonstration of gas formation within the foetal circulation: report of a case, and review of thirty-seven cases of foetal death. Clin Radiol. 1960; 11 200-204
- 32 Orebaugh S L. Venous air embolism: clinical and experimental considerations. Crit Care Med. 1992; 20 1169-1177
Prof. Giampiero BeluffiM.D.
Giampiero Viale Golgi
19 Pavia I-27100 Pavia, Italy
Email: g.beluffi@smatteo.pv.it