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Maternal ventilation and sedation for H1N1 influenza resulting in fetal bladder rupture and urinary ascites
Authors:Tejasvi Chaudhari  Meiri Robertson  David Ellwood  Erroll Simpson  Zsuzsoka Kecskes  Alison L Kent
Affiliation:1. Departments of Neonatology;2. Fetal Medicine Unit, Canberra Hospital, Woden;3. Australian National University Medical School, Canberra, Australian Capital Territory, Australia;4. Paediatric Surgery
Abstract:Urinary ascites in a newborn infant is unusual and most commonly results from bladder perforation following umbilical arterial catheterisation or obstructive uropathy. The following report describes a case of fetal bladder rupture with urinary ascites in a mother ventilated and sedated with narcotics and benzodiazepines for H1N1 influenza. This was associated with a unique biochemical profile of hyponatraemia and elevated serum urea and creatinine characteristic of urinary autodialysis in the neonate.
Keywords:autodialysis  bladder rupture  H1N1 influenza  neonate  urinary ascites
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