Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician
Neonatal tension pneumothorax is life-threatening. A tension pneumothorax on the right side was detected on a newborn boy weighing 2,380 g, who was born at 35 weeks of gestation. Given the unavailability of an on-duty thoracic surgeon and appropriately sized chest tubes in the neonatal intensive car...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Pediatric Emergency Medicine
2023-03-01
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| Series: | Pediatric Emergency Medicine Journal |
| Subjects: | |
| Online Access: | http://pemj.org/upload/pdf/pemj-2023-00668.pdf |
| _version_ | 1797851234998157312 |
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| author | Minsu Kim Chang Won Park Young Woo Do Woo Young Nho |
| author_facet | Minsu Kim Chang Won Park Young Woo Do Woo Young Nho |
| author_sort | Minsu Kim |
| collection | DOAJ |
| description | Neonatal tension pneumothorax is life-threatening. A tension pneumothorax on the right side was detected on a newborn boy weighing 2,380 g, who was born at 35 weeks of gestation. Given the unavailability of an on-duty thoracic surgeon and appropriately sized chest tubes in the neonatal intensive care unit, an emergency physician performed closed thoracostomy using two 7-French latex catheters. Immediately after the re-expansion of the right lung, left tension pneumothorax was newly detected. Two more 7-French latex catheters were inserted, relieving the left lesion. We consider that the right pneumothorax occurred due to the mixture of spontaneous rupture of the subpleural blebs and barotrauma during the initial positive pressure ventilation, while the left lesion did due to the high-flow oscillatory ventilation. Despite the limited availability of devices in the present case, a favorable outcome was achieved by the use of alternative catheters, which were chosen by the emergency physician. |
| first_indexed | 2024-04-09T19:13:33Z |
| format | Article |
| id | doaj.art-61eb1185d83c490e9a73f23591e3ae5e |
| institution | Directory Open Access Journal |
| issn | 2383-4897 2508-5506 |
| language | English |
| last_indexed | 2024-04-09T19:13:33Z |
| publishDate | 2023-03-01 |
| publisher | Korean Society of Pediatric Emergency Medicine |
| record_format | Article |
| series | Pediatric Emergency Medicine Journal |
| spelling | doaj.art-61eb1185d83c490e9a73f23591e3ae5e2023-04-06T07:51:40ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062023-03-01102687110.22470/pemj.2023.00668173Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physicianMinsu Kim0Chang Won Park1Young Woo Do2Woo Young Nho3Department of Pediatrics, Daegu Fatima Hospital, Daegu, Republic of KoreaDepartment of Emergency Medicine, CHA Gumi Medical Center, CHA University School of Medicine, Daegu, Republic of KoreaDepartment of Thoracic Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of KoreaDepartment of Emergency Medicine, CHA Gumi Medical Center, CHA University School of Medicine, Daegu, Republic of KoreaNeonatal tension pneumothorax is life-threatening. A tension pneumothorax on the right side was detected on a newborn boy weighing 2,380 g, who was born at 35 weeks of gestation. Given the unavailability of an on-duty thoracic surgeon and appropriately sized chest tubes in the neonatal intensive care unit, an emergency physician performed closed thoracostomy using two 7-French latex catheters. Immediately after the re-expansion of the right lung, left tension pneumothorax was newly detected. Two more 7-French latex catheters were inserted, relieving the left lesion. We consider that the right pneumothorax occurred due to the mixture of spontaneous rupture of the subpleural blebs and barotrauma during the initial positive pressure ventilation, while the left lesion did due to the high-flow oscillatory ventilation. Despite the limited availability of devices in the present case, a favorable outcome was achieved by the use of alternative catheters, which were chosen by the emergency physician.http://pemj.org/upload/pdf/pemj-2023-00668.pdfinfant, low birth weightlatexpneumothoraxresuscitationthoracostomyurinary catheterization |
| spellingShingle | Minsu Kim Chang Won Park Young Woo Do Woo Young Nho Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician Pediatric Emergency Medicine Journal infant, low birth weight latex pneumothorax resuscitation thoracostomy urinary catheterization |
| title | Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician |
| title_full | Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician |
| title_fullStr | Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician |
| title_full_unstemmed | Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician |
| title_short | Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician |
| title_sort | bilateral tension pneumothoraces in a preterm low birthweight newborn tube thoracostomy using four 7 french latex catheters performed by an emergency physician |
| topic | infant, low birth weight latex pneumothorax resuscitation thoracostomy urinary catheterization |
| url | http://pemj.org/upload/pdf/pemj-2023-00668.pdf |
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