BMJ Case Reports 2018; doi:10.1136/bcr-2018-226415
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Severe subcutaneous emphysema in a term neonate

  1. Catherine Hauptfleisch2
  1. 1Department of Paediatrics, Dr Gray’s Hospital, Elgin, Morayshire, UK
  2. 2Department of Neonatology, Aberdeen Maternity Hospital, Aberdeen, Aberdeenshire, UK
  1. Correspondence to Dr Mahesh Masand, mmasand{at}
  • Accepted 22 August 2018
  • Published 12 September 2018


The baby was born by elective caesarean section because of breech presentation, at 38+6 weeks of gestation with an Apgar score of 9 at 1 min, 9 at 5 min and a birth weight of 4.02 kg. She was noted to be grunting at 20 min of age and had O2 saturations of 55% in air and therefore commenced on O2 by face mask initially, followed by continuous positive airway pressure (CPAP) at a pressure of 5 cm as O2 requirements remained high (up to 60%). CPAP pressure did not need to be increased further as the O2 requirement came down to 40% and remained between 30% and 40% for the subsequent 24 hours. Initial …

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