Resuscitation of a preterm infant with massive air embolism

Immediately after surfactant administration, a ventilated preterm male infant of 27 weeks g.a. developed massive pulmonary obstruction, apparent from the ventilator’s display, loss of pulse wave from the arterial umbilical catheter, severe bradycardia, extreme pallor of the legs and cyanotic appearance of the abdomen. Chest compression was started instantaneously, and emergency X-ray revealed massive air embolism with ingress of gas into all cardiac cavities and surrounding great vessels (figure 1). Immediate aspiration yielded 3 mL gas through the …

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