Other complications

  
 

Pulmonary Haemorrhage

A pulmonary haemorrhage happens when bleeding occurs in the lung tissue and this blood then passes up the ET tube. It most commonly occurs on day 2-4 of life. Symptoms can vary from blood tinged tracheal secretions to extensive bleeding. When severe its can result in a major deterioration in the baby’s respiratory and general clinical condition, therefore the baby will become extremely unwell.

Predisposing factors

  • Pulmonary oedema
  • Perinatal hypoxia
  • Patent ductus arteriosus (PDA)
  • Infection
  • Mechanical ventilation in high inspired oxygen
  • Coagulation abnormalities

Treatment

  • Mechanical ventilation employing extra PEEP (Positive End Expiratory Pressure)
  • Transfusion of fresh blood
  • High frequency oscillation.
  • Surfactant Replacement Therapy