Severe Pulmonary Air Leak Complicating Neonatal Resuscitation SD01-SD03
Dr. S Giridhar,
Department of Neonatology, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India.
Air leaks are an important respiratory morbidity in neonates and can result from positive pressure breaths administered at birth. The presentations can vary from being asymptomatic to severe respiratory distress and hypoxemia. This report is about a term boy who presented with respiratory distress immediately after birth, following resuscitation. He also had a diffuse swelling in the nape of the neck and interscapular region with crepitus on palpation. Serial chest radiographs initially revealed a pneumomediastinum and a subcutaneous emphysema, followed later by a right sided pneumothorax. After chest drain insertion and supportive care, the air leaks resolved, with no residual complications. Severe air leaks with multisite air tracking can rarely complicate positive pressure administration at birth, requiring timely intervention to optimise outcomes.