39-week-gestation baby boy was born by emergency caesarean section for fetal bradycardia in a peripheral hospital and was subsequently transferred to our unit, due to perinatal asphyxia. On day 1, he developed respiratory failure with severe pulmonary hypertension and myocardial dysfunction. He was unresponsive to both conventional and high-frequency oscillatory ventilation, and to nitric oxide. Only high-frequency percussive ventilation improved his oxygenation. He remained in critical condition and needed maximal ventilatory support for the first 3 days, after which ventilator settings could be slowly decreased.
展开▼
