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Neonatology pp 873-885 | Cite as

Pulmonary Air Leakage in Newborns

  • Paola Papoff
  • Corrado Moretti
Reference work entry

Abstract

In neonates, the most common air leaks include pulmonary interstitial emphysema, pneumomediastinum, and pneumothorax, while pneumopericardium, pneumoperitoneum, and venous pulmonary embolism are less frequent. Air leaks are more common and severe among neonates with lung disease characterized by either poor lung compliance needing high ventilatory pressures or lung overdistention. Many affected neonates have minimal or no symptoms, while others present with signs of respiratory distress and increased oxygen requirement. Sudden collapse may occur in case of hypertensive pneumothorax or pneumopericardium. The diagnosis is suspected clinically and confirmed by chest X-ray. Treatment varies by type of air leak and severity of clinical condition.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Pediatric Intensive Care UnitSapienza University of RomeRomeItaly
  2. 2.Università degli Studi di Roma “La Sapienza”RomeItaly

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