Chest drain associated neonatal pneumopericardium

Chest drain associated neonatal pneumopericardium AbstractIncidence of pneumopericardia in neonates has reduced significantly since the routine administration of surfactant and synchronised modes of ventilation. The majority now occur secondary to the more common air leaks, e.g. pneumothorax, pneumomediastinum, pulmonary interstitial emphysema (PIE); although there are case reports of spontaneous pneumopericardia in the absence of known risk factors. In most cases the air will resorb without active management but if a tension pneumopericardium develops urgent drainage is required to prevent cardiovascular compromise and death. We present a rare case of iatrogenic tension pneumopericardium in a preterm baby secondary to chest drain insertion for a pneumothorax. The resulting air leak was sufficient to require surgical repair via a median sternotomy. This is a previously unreported complication of chest drain insertion in a neonate, and highlights the importance of careful drain placement. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Case Reports in Perinatal Medicine de Gruyter

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Publisher
de Gruyter
Copyright
©2016 Walter de Gruyter GmbH, Berlin/Boston
ISSN
2192-8959
eISSN
2192-8959
DOI
10.1515/crpm-2016-0006
Publisher site
See Article on Publisher Site

Abstract

AbstractIncidence of pneumopericardia in neonates has reduced significantly since the routine administration of surfactant and synchronised modes of ventilation. The majority now occur secondary to the more common air leaks, e.g. pneumothorax, pneumomediastinum, pulmonary interstitial emphysema (PIE); although there are case reports of spontaneous pneumopericardia in the absence of known risk factors. In most cases the air will resorb without active management but if a tension pneumopericardium develops urgent drainage is required to prevent cardiovascular compromise and death. We present a rare case of iatrogenic tension pneumopericardium in a preterm baby secondary to chest drain insertion for a pneumothorax. The resulting air leak was sufficient to require surgical repair via a median sternotomy. This is a previously unreported complication of chest drain insertion in a neonate, and highlights the importance of careful drain placement.

Journal

Case Reports in Perinatal Medicinede Gruyter

Published: Sep 1, 2016

References

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