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July 1973, Vol 126, No. 1 >
Article | July 1973

Pulmonary Interstitial Emphysema With Gas Embolism in Hyaline Membrane Disease FREE

Frank W. Bowen, MD; Roma Chandra, MD; Gordon B. Avery, MD, PhD
[+] Author Affiliations

Received for publication Dec 26, 1972; accepted March 30, 1973.

Reprint requests to Children's Hospital of the District of Columbia, 2125 13th St, NW, Washington, DC 20009 (Dr. Avery).


Am J Dis Child. 1973;126(1):117-118. doi:10.1001/archpedi.1973.02110190105023.
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A case of severe hyaline membrane disease managed with positive end-expiratory pressure respiration is described. The infant died of massive systemic gas embolization. Gas embolism has been associated with high pressure in the lung that presumably causes alveolar rupture, interstitial gas dissection, and eventual embolization into the pulmonary veins. With the increasing use of high-pressure respirator systems, this rare complication may become more common.

REFERENCES

1 +
Gregory GA et al:  Treatment of the idiopathic respiratory distress syndrome with continuous positive airway pressure . N Engl J Med 284:1333-1340, 1971;.
2 +
Gregory GA, Tooley WA:  Gas embolism in hyaline membrane disease . N Engl J Med 282:1141-1142, 1970;.
3 +
Donahoe PK et al:  Pneumoperitoneum secondary to pulmonary air leak . J Pediatr 81:797-800, 1972;.
4 +
Northway WH et al:  Pulmonary disease following respirator therapy of hyaline membrane disease . N Engl J Med 276:357-374, 1967;.
5 +
Macklin MT, Macklin CC:  Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions . Medicine 23:281-358, 1944;.
6 +
Macklin CC:  Transport of the air along sheaths of pulmonic blood vessels from alveoli to mediastinum . Arch Intern Med 64:913-926, 1939;.
7 +
Salmon GW, Forbes GB, Davenport H:  Airblock in the newborn infant . J Pediatr 30:260-283, 1947;.
8 +
Emery JL:  Interstitial emphysema, pneumothorax and "air-block" in the newborn . Lancet 1:405-409, 1956;.
9 +
Lenaghan R, Silva YJ, Walt AJ:  Hemodynamic alterations associated with expansion rupture of the lung . Arch Surg 99:339-343, 1969;.
10 +
Grosfeld JL, Boger O, Clatworthy WH:  Hemodynamic and manometric observations in experimental air block syndrome . J Pediatr Surg 6:339-344, 1971;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Gregory GA et al:  Treatment of the idiopathic respiratory distress syndrome with continuous positive airway pressure . N Engl J Med 284:1333-1340, 1971;.
2 +
Gregory GA, Tooley WA:  Gas embolism in hyaline membrane disease . N Engl J Med 282:1141-1142, 1970;.
3 +
Donahoe PK et al:  Pneumoperitoneum secondary to pulmonary air leak . J Pediatr 81:797-800, 1972;.
4 +
Northway WH et al:  Pulmonary disease following respirator therapy of hyaline membrane disease . N Engl J Med 276:357-374, 1967;.
5 +
Macklin MT, Macklin CC:  Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions . Medicine 23:281-358, 1944;.
6 +
Macklin CC:  Transport of the air along sheaths of pulmonic blood vessels from alveoli to mediastinum . Arch Intern Med 64:913-926, 1939;.
7 +
Salmon GW, Forbes GB, Davenport H:  Airblock in the newborn infant . J Pediatr 30:260-283, 1947;.
8 +
Emery JL:  Interstitial emphysema, pneumothorax and "air-block" in the newborn . Lancet 1:405-409, 1956;.
9 +
Lenaghan R, Silva YJ, Walt AJ:  Hemodynamic alterations associated with expansion rupture of the lung . Arch Surg 99:339-343, 1969;.
10 +
Grosfeld JL, Boger O, Clatworthy WH:  Hemodynamic and manometric observations in experimental air block syndrome . J Pediatr Surg 6:339-344, 1971;.

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