Pediatric Radiology

, Volume 23, Issue 3, pp 183–185 | Cite as

Post-extubation atelectasis in ventilated newborn infants

  • J. C. Odita
  • M. Kayyali
  • A. Ammari
Originals

Abstract

Post-extubation atelectasis (PEA) constitutes the commonest cause of lung collapse in ventilated neonates. The clinical and radiological features of 47 ventilated infants who developed PEA within 24 h of extubation are reported. Three main radiographic patterns of atelectasis were identified: (1) transient unilobar collapse resolving within 12 h of extubation (19 cases), (2) multilobar atelectasis developing over a 48-h period (18 cases), and (3) progressive atelectasis resulting in complete collapse of a whole lung. A similar number of ventilated infants without PEA served as controls. We found a significant association between the incidence of PEA and multiple intubation (P<0.02), presence of patent ductus arteriosus (P<0.001) and neonatal sepsis (P<0.05). Prophylactic physiotherapy is recommended for ventilated infants, particularly those with the above risk factors.

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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • J. C. Odita
    • 1
  • M. Kayyali
    • 2
  • A. Ammari
    • 2
  1. 1.Department of RadiologyHamad Medical CorporationDoha
  2. 2.Department of PediatricsHamad Medical CorporationDoha

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