Bronchopulmonary dysplasia
Updates to Case Attributes
The case illustrates a feared consequence of IRDS and consecutive high pressure-pressure oxygenation in preterm neonates: Bronchopulmonary Dysplasiabronchopulmonary dysplasia, (BPD).
FortunallyFortunately, this young fellow recovered well albeit with most likely irreversible hyperinflation of the left lower lung.
-<p>The case illustrates a feared consequence of I<a href="/articles/neonatal-respiratory-distress-causes">RDS</a> and consecutive high pressure oxygenation in preterm neonates: <a href="/articles/bronchopulmonary-dysplasia">Bronchopulmonary Dysplasia</a>, (BPD).</p><p>Fortunally, this young fellow recovered well albeit with most likely irreversible hyperinflation of the left lower lung.</p>- +<p>The case illustrates a feared consequence of I<a href="/articles/neonatal-respiratory-distress-causes">RDS</a> and consecutive high-pressure oxygenation in preterm neonates: <a href="/articles/bronchopulmonary-dysplasia">bronchopulmonary dysplasia</a>, (BPD).</p><p>Fortunately, this young fellow recovered well albeit with most likely irreversible hyperinflation of the left lower lung.</p>
Systems changed:
- Chest
Updates to Study Attributes
FINDINGS: Endotracheal tube with the tip just above the carina and hence, placed a little too deep.
Umbilic artery line malpositioned with folded line in a large aortic branch, either right renal artery/ SMA / coeliac trunk.
Moderate ground glass opacification with bilateral central dominance. The cardiac silhouette remains visible as does the diaphragm.
The x-ray taken the next day shows removal of the umbilic artery line and the endotracheal tube and newly inserted central venous line via the left brachial vein, the tip remaining in the subclavian vein, hence no central positioning.
Discrete progression of ground glass opacification with loss of visibility of the cardiac silhouette. Dilated small bowel loops in the upper abdomen , inserted NGT in correct position.
CONCLUSION: mild to moderate IRDS with centrally located ground glass airspace and interstitial opacities with mild air-bronchograms. Some semi-optimal placed lines and tubes.
The child went on to have a prolonged CPAP therapy for 42 days and intermittent high flow oxygenation for another 5 days.
Updates to Study Attributes
The x-ray taken the next day shows removal of the umbilic artery line and the endotracheal tube and newly inserted central venous line via the left brachial vein, the tip remaining in the subclavian vein, hence no central positioning.
Discrete progression of ground glass opacification with loss of visibility of the cardiac silhouette. Dilated small bowel loops in the upper abdomen , inserted NGT in correct position.
Updates to Freetext Attributes
The child went on to have a prolonged CPAP therapy for 42 days and intermittent high flow oxygenation for another 5 days.
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