This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

V. Rehan, DCh(Lond), MD, MRCP, MRCPI; S. Phillips, MD; C. Fajardo, MD; M. M. K. Seshia, MB, ChB, FRCP(Edin)

Arch Pediatr Adolesc Med. 1997;151(11):1163-1164.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THIS INFANT was born at 40 weeks' gestation to a 29-year-old gravida 2, para 0 white woman by vacuum delivery. Birth weight was 3770 g; crown-heel length, 56 cm; head circumference, 35.5 cm. Apgar scores were 7 and 7 at 1 and 5 minutes, respectively. Initial resuscitation included oropharyngeal suctioning and oxygen supplementation by face mask. Respiratory difficulty was soon noted. Ambient oxygen concentration was increased without benefit. At 1 hours of age, he underwent intubation and ventilation. A chest radiograph showed bilateral pneumothoraces (Figure 1) that were drained through indwelling chest tubes with immediate improvement in oxygen saturation from 72% to 100%. Complete blood cell count, serum electrolyte level, and blood glucose level were normal. Arterial blood gas measurement showed pH, 7.45; PaO₂, 73 mm Hg; PaCO₂, 24 mm Hg; and bicarbonate, 17 mmol/L. Ventilatory rate ranged between 22 and 40/min; peak inspiratory pressure between 26 and . . . [Full Text PDF of this Article]

Author Affiliations
From the Sections of Neonatology (Drs Rehan, Fajardo, and Seshia) and Pediatric Pathology (Dr Phillips), Health Sciences Centre, Winnipeg, Manitoba.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?