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25/07/2008

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HEALTHCARE PROFESSIONAL
 
PARENTS AND VISITORS
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


 

 
 
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Last updated:
02/04/2008
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