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Post-extubation atelectasis in ventilated newborn infants

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Abstract

Post-extubation atelectasis (PEA) constitutes the commonest cause of lung collapse in ventilated neonates. The clinical and radiological features of 47 ventilated infants who developed PEA within 24 h of extubation are reported. Three main radiographic patterns of atelectasis were identified: (1) transient unilobar collapse resolving within 12 h of extubation (19 cases), (2) multilobar atelectasis developing over a 48-h period (18 cases), and (3) progressive atelectasis resulting in complete collapse of a whole lung. A similar number of ventilated infants without PEA served as controls. We found a significant association between the incidence of PEA and multiple intubation (P<0.02), presence of patent ductus arteriosus (P<0.001) and neonatal sepsis (P<0.05). Prophylactic physiotherapy is recommended for ventilated infants, particularly those with the above risk factors.

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References

  1. Wyman ML, Kuhns LR (1977) Lobar opacification of the lung after tracheal extubation in neonates. J Pediatr 91: 109

    PubMed  Google Scholar 

  2. Fox WW, Berman LS, Dinwiddie R, Shaffer TH (1977) Tracheal extubation of the neonate at 2 to 3 cm H2O continuous positive airway pressure. Pediatrics 59: 257

    PubMed  Google Scholar 

  3. Spitzer AR, Fox WW (1982) Post-extubation atelectasis: the role of oral versus nasal endotracheal tubes. J Pediatr 100: 806

    PubMed  Google Scholar 

  4. Laurenzi GA, Yin S, Guarneri JJ (1968) Adverse effect of oxygen on tracheal mucus flow. N Engl J Med 279: 333

    PubMed  Google Scholar 

  5. Boat TF, Kienerman JI, Fanaroff AA, Matthews LW (1973) Toxic effects of oxygen and cultured human neonatal respiratory epithelium. Pediatr Res 7: 607

    PubMed  Google Scholar 

  6. Finer NN, Moriartey RR, Boyd J, Phillips HJ, Stewart AR, Ulan O (1979) Postextubation atelectasis: a retrospective review and a prospective controlled study. J Pediatr 94: 110

    PubMed  Google Scholar 

  7. Gregory G (1971) Respiratory care of the newborn infants. Pediatr Clin North Am 19: 311

    Google Scholar 

  8. Bancalari E (1976) Mechanical ventilation. In: Iatrogenic problems in neonatal intensive care. Ross Laboratories, Columbus, Ohio, p 70

    Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Hamad Medical Corporation, P.O. Box 3050, Doha, State of Qatar

    J. C. Odita

  2. Department of Pediatrics, Hamad Medical Corporation, P.O. Box 3050, Doha, State of Qatar

    M. Kayyali & A. Ammari

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  1. J. C. Odita
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  2. M. Kayyali
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  3. A. Ammari
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Odita, J.C., Kayyali, M. & Ammari, A. Post-extubation atelectasis in ventilated newborn infants. Pediatr Radiol 23, 183–185 (1993). https://doi.org/10.1007/BF02013827

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  • DOI: https://doi.org/10.1007/BF02013827

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