Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Pocivalnik, M; Meheden, SV; Griesmaier, E; Trawöger, R; Kiechl-Kohlendorfer, U; Pichler, G; Reiterer, F; Urlesberger, B.
[Pneumothorax during mechanical ventilation--therapeutic options in term and preterm neonates].
Klin Padiatr. 2013; 225(7):389-393
Doi: 10.1055/s-0033-1353205
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Ribitsch Mirjam
- Co-Autor*innen der Med Uni Graz
- Pichler Gerhard
- Reiterer Friedrich
- Urlesberger Berndt
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- Abstract:
- A pneumothorax (PTX) is a potentially life threatening event during mechanical ventilation. Aim of this study was to analyse 3 different ways of management: expectant treatment, once-only pleural puncture and thoracic drainage.Retrospective data analysis in term and preterm neonates admitted to the NICU of the Medical University of Graz (between 2000-2010) and Innsbruck (2002-2010) who suffered from a PTX during continuous positive airway pressure (CPAP) or conventional mechanical ventilation (CMV).104 neonates, 33 term and 71 preterm neonates with PTX were included. 33 term neonates: 52% were treated expectantly, 36% with thoracic drainage and 12% with once-only pleural puncture (100% thoracic drainage after pleural puncture). 71 preterm neonates: 25% were treated expectantly, 52% with thoracic drainage and 23% with pleural puncture (63% thoracic drainage after pleural puncture). In CPAP-subgroup (n=64), term neonates were treated in 60% expectantly and in 40% with thoracic drain-age, preterm neonates in 33% expectantly, in 47% with thoracic drainage and in 20% with pleural puncture (50% thoracic drainage after pleural puncture). In CMV-subgroup (n=40), term neonates were treated in 44% expectantly, in 33% with thoracic drainage and in 22% with pleural puncture (100% thoracic drainage after pleural puncture), preterm neonates in 9% expectantly, in 64% with thoracic drainage and in 27% with pleural puncture (83% thoracic drain-age after pleural puncture).Present data show that expectant treatment is feasible. If invasive intervention is needed, once-only pleural puncture was not successful, as often thoracic drainage was necessary in addition. © Georg Thieme Verlag KG Stuttgart · New York.
- Find related publications in this database (using NLM MeSH Indexing)
- -
- Chest Tubes -
- Continuous Positive Airway Pressure -
- Drainage -
- Feasibility Studies -
- Female -
- Gestational Age -
- Humans -
- Infant, Newborn -
- Infant, Premature, Diseases - therapy
- Male -
- Pneumothorax - therapy
- Respiration, Artificial - adverse effects
- Retrospective Studies -
- Risk Factors -
- Watchful Waiting -
- Find related publications in this database (Keywords)
- pneumothorax
- ventilation
- continuous mandatory ventilation
- CPAP (continuous positive airway pressure)
- pleura puncture
- thoracic drainage