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Pulmonary Embolism I: Introduction01:29

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Induction of Cerebral Arterial Gas Embolism in Rat
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Neonatal Cerebral Air Embolism.

Javed Ahmed1, Hari Balasubramanian2, Vaseem Ansari3

  • 1Department of Neonatalogy, Surya Children Medicare, Mumbai, India. Correspondence to: Dr Javed Ahmed, Department of Pediatrics, Surya Children Medicare Pvt Ltd, Mumbai, India. docjaved@gmail.com.

Indian Pediatrics
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Summary
This summary is machine-generated.

Vascular air embolism (VAE) is a rare but serious condition in newborns. This case highlights the importance of considering VAE in neonates experiencing sudden cardiac arrest, even with survival.

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Area of Science:

  • Neonatal Medicine
  • Pediatric Cardiology
  • Neurology

Background:

  • Vascular air embolism (VAE) is a rare, potentially fatal condition in neonates.
  • Survival from VAE in newborns is infrequently reported.
  • Prompt recognition and management are critical for improved outcomes.

Observation:

  • A preterm neonate (27+1 weeks) on Continuous Positive Airway Pressure (CPAP) experienced sudden cardiac asystole on day 3 of life.
  • Cardiopulmonary resuscitation (CPR) was administered for 30 minutes.
  • The neonate was diagnosed with air embolism in the liver and brain.

Findings:

  • The neonate survived the initial event.
  • Cystic encephalomalacia developed as a complication.
  • Extensive neuro-rehabilitation was required due to neurological sequelae.

Implications:

  • VAE should be considered in the differential diagnosis of sudden, unexplained cardiac deterioration in neonates.
  • Early detection of VAE can potentially alter management and improve prognosis.
  • This case underscores the severe neurological risks associated with neonatal VAE.