RDS and pneumothorax

Case contributed by Dr Jeremy Jones

Presentation

32 week premature ventilated baby with increasing difficulty with ventilation.

Patient Data

Age: 2 days
Gender: Female
X-ray

ET tube and NG tube in appropriate positions. No humeral head ossification. 

Low volume lungs with widespread and symmetrical airspace opacification.

Increased lucency throughout the right hemithorax secondary to a large pneumothorax.

Case Discussion

The commonest parenchymal abnormality in the preterm neonate is RDS. Characteristically, there are reduced lung volumes and increased airspace opacification.

Complications of RDS, especially when intubated and ventilated are pneumothorax (seen here) and pulmonary interstitial emphysema (PIE).

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Case information

rID: 44181
Published: 25th Aug 2018
Last edited: 22nd Feb 2020
System: Paediatrics
Inclusion in quiz mode: Included

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