PediatricsCASE REPORT

Spontaneous neonatal subcutaneous emphysema: analysis of neonatal management

Abraham M. Quader, OMS III; and Craig Sussman, MD
Notes and Affiliations
Notes and Affiliations

Received: March 7, 2022

Accepted: May 11, 2022

Published: June 9, 2022

  • Abraham M. Quader, OMS III, 

    Department of Pediatrics, Edward Via College of Osteopathic Medicine-Carolinas, Spartanburg, SC, USA

  • Craig Sussman, MD, 

    Neonatology and the Department of Pediatrics, Orange Park Medical Center, Orange Park, FL, USA

Abstract

Neonatal subcutaneous emphysema is a very rare complication of endotracheal intubation or surgery; however, only a few cases of spontaneous subcutaneous emphysema were reported in a neonate. The patient presented in respiratory distress with a low SaO2; however, no clinical signs of subcutaneous emphysema were seen. An initial chest radiograph was negative for subcutaneous emphysema. Nasal continuous positive airway pressure (CPAP) was started to manage the respiratory distress, and subcutaneous emphysema spontaneously developed. Discontinuation of nasal CPAP with close monitoring eventually resolved the subcutaneous emphysema. Recognition of rare complications due to nasal CPAP may provide physicians with more insight to intervene and provide patients with proper care.

Read Full Article