Unexplained Neonatal Cardiorespiratory Collapse at Five Minutes of Age

We report a case in which a term neonate suffered cardiorespiratory collapse at five minutes of age following an uncomplicated delivery and Apgar score of eight at one minute. Following prolonged cardiopulmonary resuscitation, the infant recovered well with no neurological deficit. Although sudden a...

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Main Authors: Sona Zaleta, Sarah Miller, Prashant Kumar
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/7206572
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author Sona Zaleta
Sarah Miller
Prashant Kumar
author_facet Sona Zaleta
Sarah Miller
Prashant Kumar
author_sort Sona Zaleta
collection DOAJ
description We report a case in which a term neonate suffered cardiorespiratory collapse at five minutes of age following an uncomplicated delivery and Apgar score of eight at one minute. Following prolonged cardiopulmonary resuscitation, the infant recovered well with no neurological deficit. Although sudden and unexpected postnatal collapse has been extensively described, this case does not fulfil its definition criteria. It provides a diagnostic challenge for clinicians and to the best of our knowledge is the first report of unexplained cardiorespiratory collapse at five minutes of age. The case serves as a timely reminder that cord gas analysis is recommended in all cases of potential fetal compromise and that Apgar scores should be used with caution as a predictor of neurological sequelae.
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series Case Reports in Pediatrics
spelling doaj-art-a4d0c08416304d05b53742a32aa641002025-02-03T06:01:31ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/72065727206572Unexplained Neonatal Cardiorespiratory Collapse at Five Minutes of AgeSona Zaleta0Sarah Miller1Prashant Kumar2Department of Paediatrics, Timaru Public Hospital, Timaru 7910, New ZealandDepartment of Paediatrics, Timaru Public Hospital, Timaru 7910, New ZealandDepartment of Paediatrics, Timaru Public Hospital, Timaru 7910, New ZealandWe report a case in which a term neonate suffered cardiorespiratory collapse at five minutes of age following an uncomplicated delivery and Apgar score of eight at one minute. Following prolonged cardiopulmonary resuscitation, the infant recovered well with no neurological deficit. Although sudden and unexpected postnatal collapse has been extensively described, this case does not fulfil its definition criteria. It provides a diagnostic challenge for clinicians and to the best of our knowledge is the first report of unexplained cardiorespiratory collapse at five minutes of age. The case serves as a timely reminder that cord gas analysis is recommended in all cases of potential fetal compromise and that Apgar scores should be used with caution as a predictor of neurological sequelae.http://dx.doi.org/10.1155/2016/7206572
spellingShingle Sona Zaleta
Sarah Miller
Prashant Kumar
Unexplained Neonatal Cardiorespiratory Collapse at Five Minutes of Age
Case Reports in Pediatrics
title Unexplained Neonatal Cardiorespiratory Collapse at Five Minutes of Age
title_full Unexplained Neonatal Cardiorespiratory Collapse at Five Minutes of Age
title_fullStr Unexplained Neonatal Cardiorespiratory Collapse at Five Minutes of Age
title_full_unstemmed Unexplained Neonatal Cardiorespiratory Collapse at Five Minutes of Age
title_short Unexplained Neonatal Cardiorespiratory Collapse at Five Minutes of Age
title_sort unexplained neonatal cardiorespiratory collapse at five minutes of age
url http://dx.doi.org/10.1155/2016/7206572
work_keys_str_mv AT sonazaleta unexplainedneonatalcardiorespiratorycollapseatfiveminutesofage
AT sarahmiller unexplainedneonatalcardiorespiratorycollapseatfiveminutesofage
AT prashantkumar unexplainedneonatalcardiorespiratorycollapseatfiveminutesofage