Cardiac air embolism should be suspected in any neonate with acute unexplained cardiovascular
collapse or worsening oxygenation. We present here five cases that presented with
the above symptoms. A comprehensive evaluation including targeted neonatal echocardiography
and near-infrared spectroscopy helped confirm the diagnosis and assess the hemodynamic
state. Management was supportive including left lateral positioning, chest compressions,
and cardiovascular medications to treat pulmonary hypertension and systemic hypotension.
Keywords
air embolism - neonate - targeted neonatal echocardiography - cardiovascular collapse
- pulmonary hypertension
