Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Radiological Case of the Month

Radiological Case of the Month Abstract An 830-g boy was born to a 17-year-old, primigravida mother after 27 weeks' gestation. At the time of delivery, he had no spontaneous respirations and was admitted to the Newborn Intensive Care Unit, Ochsner Clinic, New Orleans. He was intubated, and ventilation therapy was begun by bag; Apgar scores were 4 and 6 at one and five minutes. Severe respiratory distress was present with grunting, intercostal retractions, and decreased breath sounds bilaterally. The chest roentgenograms (Fig 1) were obtained at that time. The infant was placed under a radiant warmer, and positive pressure ventilation therapy was begun with a respiratory rate of 16 per minute, a pressure of 20 cm H2O, and a forced inspiratory oxygen of 75%. His condition remained relatively stable over the first 48 hours. However, respiratory distress continued to worsen, and he required increased respirator support. At 3 days of age, he became severely References 1. Macklin CC: Transport of air along sheaths of pulmonic blood vessels from alveoli to mediastinum . Arch Intern Med 64:913-926, 1939.Crossref 2. Macklin MT, Macklin CC: Malignant interstitial emphysema of the lung and mediastinum as an important occult complication in many respiratory diseases and other conditions . Medicine 23:281-358, 1944.Crossref 3. Bowen FW, Chandra R, Avery GB: Pulmonary interstitial emphysema with gas embolism in hyaline membrane disease . Am J Dis Child 126:117-118, 1973. 4. Weller MH: The roentgenographic course and complications of hyaline membrane disease . Pediatr Clin North Am 20:381-406, 1973. 5. Mikity VG, Taber P: Complications in the treatment of the respiratory distress syndrome . Pediatr Clin North Am 20:419-431, 1973. 6. Chiu C, Golding MR, Linder JB, et al: Pulmonary venous air embolism: A hemodynamic reappraisal . Surgery 61:816-819, 1967. 7. Van Allen CM, Hrdina LS, Clark J: Air embolism from the pulmonary vein: A clinical and experimental study . Arch Surg 19:567-599, 1929.Crossref 8. Durant TM, Oppenheimer MJ, Webster MR, et al: Arterial air embolism . Am Heart J 38:481-500, 1949.Crossref 9. Shook DR, Cram KB, Williams JH: Pulmonary venous air embolism in hyaline membrane disease . AJR 125:538-542, 1975.Crossref 10. Vinstein AL, Gresham EL, Lim MO, et al: Pulmonary venous air embolism in hyaline membrane disease . Radiology 105:627-630, 1972. 11. Quisling RG, Poznanski AK, Roloff DW, et al: Postmortem gas accumulation in premature infants . Radiology 113:155-159, 1974. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Loading next page...
 
/lp/american-medical-association/radiological-case-of-the-month-xP3UaBKmz0
Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1980.02130220059016
Publisher site
See Article on Publisher Site

Abstract

Abstract An 830-g boy was born to a 17-year-old, primigravida mother after 27 weeks' gestation. At the time of delivery, he had no spontaneous respirations and was admitted to the Newborn Intensive Care Unit, Ochsner Clinic, New Orleans. He was intubated, and ventilation therapy was begun by bag; Apgar scores were 4 and 6 at one and five minutes. Severe respiratory distress was present with grunting, intercostal retractions, and decreased breath sounds bilaterally. The chest roentgenograms (Fig 1) were obtained at that time. The infant was placed under a radiant warmer, and positive pressure ventilation therapy was begun with a respiratory rate of 16 per minute, a pressure of 20 cm H2O, and a forced inspiratory oxygen of 75%. His condition remained relatively stable over the first 48 hours. However, respiratory distress continued to worsen, and he required increased respirator support. At 3 days of age, he became severely References 1. Macklin CC: Transport of air along sheaths of pulmonic blood vessels from alveoli to mediastinum . Arch Intern Med 64:913-926, 1939.Crossref 2. Macklin MT, Macklin CC: Malignant interstitial emphysema of the lung and mediastinum as an important occult complication in many respiratory diseases and other conditions . Medicine 23:281-358, 1944.Crossref 3. Bowen FW, Chandra R, Avery GB: Pulmonary interstitial emphysema with gas embolism in hyaline membrane disease . Am J Dis Child 126:117-118, 1973. 4. Weller MH: The roentgenographic course and complications of hyaline membrane disease . Pediatr Clin North Am 20:381-406, 1973. 5. Mikity VG, Taber P: Complications in the treatment of the respiratory distress syndrome . Pediatr Clin North Am 20:419-431, 1973. 6. Chiu C, Golding MR, Linder JB, et al: Pulmonary venous air embolism: A hemodynamic reappraisal . Surgery 61:816-819, 1967. 7. Van Allen CM, Hrdina LS, Clark J: Air embolism from the pulmonary vein: A clinical and experimental study . Arch Surg 19:567-599, 1929.Crossref 8. Durant TM, Oppenheimer MJ, Webster MR, et al: Arterial air embolism . Am Heart J 38:481-500, 1949.Crossref 9. Shook DR, Cram KB, Williams JH: Pulmonary venous air embolism in hyaline membrane disease . AJR 125:538-542, 1975.Crossref 10. Vinstein AL, Gresham EL, Lim MO, et al: Pulmonary venous air embolism in hyaline membrane disease . Radiology 105:627-630, 1972. 11. Quisling RG, Poznanski AK, Roloff DW, et al: Postmortem gas accumulation in premature infants . Radiology 113:155-159, 1974.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Oct 1, 1980

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month