title: Maternal ventilation and sedation for H1N1 influenza resulting in fetal bladder rupture and urinary ascites.
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.
authors: Department of Neonatology, Canberra Hospital, Woden, Australian Capital Territory, Australia.
authors: Tejasvi
authors: T
authors: Chaudhari
authors: Meiri
authors: M
authors: Robertson
authors: David
authors: D
authors: Ellwood
authors: Erroll
authors: E
authors: Simpson
authors: Zsuzsoka
authors: Z
authors: Kecskes
authors: Alison L
authors: AL
authors: Kent
mesh_terms: D001201:Ascites / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects* / Q000627:therapeutic use; D007231:Infant, Newborn; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000628:therapy*; D008874:Midazolam / Q000009:adverse effects / Q000627:therapeutic use; D009020:Morphine / Q000009:adverse effects / Q000627:therapeutic use; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000628:therapy*; D012121:Respiration, Artificial; D012422:Rupture, Spontaneous; D016216:Ultrasonography, Prenatal; D001745:Urinary Bladder Diseases / Q000139:chemically induced* / Q000150:complications / Q000000981:diagnostic imaging
chemical_list: D006993:Hypnotics and Sedatives; D009020:Morphine; D008874:Midazolam