Endotracheal adrenaline use a newborn with pulmonary hemorrhage: A case report

Abstract

Pulmonary hemorrhage in the newborn is an acute and idiopathic event characterized by discharge of bloody fluid from the respiratory tract or endotracheal tube. In this case report we discussed 5 hours old neonate with pulmonary bleeding. We showed that endotracheal adrenaline use, gastric lavage with cold water and use of vitamin K in the treatment of neonates with pulmonary bleeding might shorten the duration of treatment and lower the mortality rate.

Keywords

• Pulmonary Hemorrhage,Newborn,Adrenalin,Vitamin K

Yenidoğanda endotrakeal yolla verilen adrenalin ile tedavi edilen pulmoner kanama: Olgu sunumu

Öz

Pulmoner kanama bebeklerde görülen ve nedeni tam olarak aydınlatılamamış olan akciğerlerde kanama ile karakterize bir klinik durumdur. Bu olgu sunumunda yaşamının 5.saatinde pulmoner kanaması görülen bir bebek tartışılmıştır. Etyolojisi net olarak saptanamayan pulmoner kanama vakalarında endotrakeal yol ile adrenalin tedavisi, midenin soğuk mayi ile yıkanması ve K vitamini tedavisinin birlikte yapılması durumunda iyileşmeyi hızlandıracağı ve mortaliteyi azaltacağı kanaatinde varıldı

Anahtar Kelimeler

• Pulmoner Kanama,Yenidoğan,Adrenalin,K vitamini

Kaynakça

1. 1. Pandit PB, O’Brien K, Asztalos E, Colucci E, Dunn MS. Out-come following pulmonary haemorrhage in very low birth weight neonates treated with surfactant. Arch Dis Child Fetal Neonatal Ed. 1999;81(1):40-4.
2. 2. Raju TN, Langenberg P. Pulmonary hemorrhage and exoge-nous surfactant therapy: a metaanalysis. J Pediatr. 1993;123(4):603-10.
3. 3. Özalkaya E, Karatepe HÖ, Topçuoğlu S, Dinçer E, Karatekin G, Ovalı F. Risk Factors of Pulmonary Hemorrhage in Preterm Infants. Medical Bulletin of Zeynep Kamil. 2015;46(3):116-9.
4. 4. Ren XL, Fu W, Liu J, Liu Y, Xia Rm. Lung ultrasonography to diagnose pulmonary hemorrhage of the newborn. J Matern Fetal Neonatal Med. 2017;30(21):2601–6.
5. 5. Vobruba V, Grus T, Miejnsky F, Belohlavek J, Hridel J, Lambert L. Management of severe pulmonary hemorrhage in a neonate on veno-arterial ECMO by the temporary clamping of the endotracheal tube – a case report. Perfusion. 2018;33(1):77–80
6. 6. Zahr RA, Ashfag A, Marron-Corwin M. Neonatal pulmonary hemorrhage. NeoReviews. 2012;13(5):302-6.
7. 7. Kluckow M, Evans N. Ductal shunting, high pulmonary blood flow, and pulmonary hemorrhage. J Pediatr. 2000;137(1):68-72.
8. 8. Ferreira CH, Carmona F, Martinez FE. Prevalence, risk factors and outcomes associated with pulmonary hemorrhage in newborns. J Pediatr (Rio J). 2014;90(3):316-22.

9. 9. Türkmenoğlu Y, Taş BT, Türkkan E, Aydınol FN, Kafadar İ, Adal SE. Is Single Dose of Vitamin K Prophylaxis Sufficient in Newborn Infant for the Prevention of Hemorrhagic Disease? Two Case Report. The Medical Journal of Okmeydani Training and Research Hospital. 2012;28(3):162-6.
10. 10. Yen TA, Wang CC, Hsieh WS, Chou HC, Chen CY, Tsao PN. Short-term outcome of pulmonary hemorrhage in very-low-birth-weight preterm infants. Pediatrics and Neonatology. 2013;54(5):330-4.