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Lung ultrasound-guided emergency pneumothorax needle aspiration in a very preterm infant
  1. Fiorella Migliaro,
  2. Angela Sodano,
  3. Letizia Capasso,
  4. Francesco Raimondi
  1. Division of Neonatology, Section of Pediatrics, Department of Translational Medical Sciences, Università “Federico II”, Naples, Italy
  1. Correspondence to Dr Francesco Raimondi, raimondi{at}


Pneumothorax is a frequent critical situation in the neonatal intensive care unit. Diagnosis relies on clinical judgement, transillumination and chest radiogram. We report the case of a very preterm infant suddenly developing significant and persistent desaturation and bradycardia. Re-intubation and cardiopulmonary resuscitation were performed. Clinical and cold light examination were not suggestive of pneumothorax according to two experienced neonatologists. A lung ultrasound scan showed evidence of right pneumothorax that was promptly aspirated. Approximately 20 min later, a chest radiogram confirmed the ultrasound diagnosis. Point-of-care lung ultrasound is a useful tool for detecting symptomatic pneumothorax and accelerating its treatment.

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