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Case Reports
Lung ultrasound-guided emergency pneumothorax needle aspiration in a very preterm infant.
- Fiorella Migliaro, Angela Sodano, Letizia Capasso, and Francesco Raimondi.
- Division of Neonatology, Section of Pediatrics, Department of Translational Medical Sciences, Università "Federico II", Naples, Italy.
- BMJ Case Rep. 2014 Jan 1;2014.
AbstractPneumothorax is a frequent critical situation in the neonatal intensive care unit. Diagnosis relies on clinical judgement, transillumination and chest radiogram. We report the case of a very preterm infant suddenly developing significant and persistent desaturation and bradycardia. Re-intubation and cardiopulmonary resuscitation were performed. Clinical and cold light examination were not suggestive of pneumothorax according to two experienced neonatologists. A lung ultrasound scan showed evidence of right pneumothorax that was promptly aspirated. Approximately 20 min later, a chest radiogram confirmed the ultrasound diagnosis. Point-of-care lung ultrasound is a useful tool for detecting symptomatic pneumothorax and accelerating its treatment.2014 BMJ Publishing Group Ltd.
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