Amer J Perinatol
DOI: 10.1055/s-0037-1606633
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cardiac Air Embolism in Neonates: A Hemodynamic Perspective

Deepak Louis
Division of Neonatology, Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
,
Reem Amer
Division of Neonatology, University of Manitoba, Winnipeg, Manitoba, Canada
,
Yasser N. Elsayed
Division of Neonatology, Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
› Author Affiliations
Further Information

Publication History

15 June 2017

18 August 2017

Publication Date:
29 November 2017 (eFirst)

Abstract

Cardiac air embolism should be suspected in any neonate with acute unexplained cardiovascular collapse or worsening oxygenation. We present here five cases that presented with the above symptoms. A comprehensive evaluation including targeted neonatal echocardiography and near-infrared spectroscopy helped confirm the diagnosis and assess the hemodynamic state. Management was supportive including left lateral positioning, chest compressions, and cardiovascular medications to treat pulmonary hypertension and systemic hypotension.