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  • Title: Lung ultrasound-guided emergency pneumothorax needle aspiration in a very preterm infant.
    Author: Migliaro F, Sodano A, Capasso L, Raimondi F.
    Journal: BMJ Case Rep; 2014 Dec 14; 2014():. PubMed ID: 25512394.
    Abstract:
    Pneumothorax 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.
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