A brief comment on pneumothorax during extubation period of esophageal atresia repair

Karabulut, Ramazan; Türkyılmaz, Zafer; Kaya, Cevdet; Sönmez, Kaan

doi:10.1016/j.pedneo.2020.12.006

Cited by 2 publications

(4 citation statements)

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“…Some scholars [17] believed that the application of continuous positive airway pressure (CPAP) during the withdrawal period or after the removal of endotracheal intubation might be related to the production of However, there are some limitations in this study. Surgical procedures and details, and perioperative management (especially the use of mechanical ventilation) changed over time, and access to surgical details and postoperative complications information was limited.…”

Section: Discussionmentioning

confidence: 97%

“…Previous studies have shown that there is a certain relationship between mechanical ventilation and pneumothorax [17,18], but the causes of pneumothorax have not been analyzed in detail, and the sample size is very small. In this study, the results suggested that mechanical ventilation was one of the possible risk factors for pneumothorax, and we further compared and analyzed the speci c parameters of mechanical ventilation, however, the results did not support the correlation between mechanical ventilation parameters and occurrence of pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

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Retrospective Analysis of Pneumothorax After Repair of Esophageal Atresia/Tracheoesophageal Fistula: A Case Control Study

Zhao

Shen

et al. 2021

Preprint

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Background To analyze the possible causes, treatment and outcomes of postoperative pneumothorax in patients with Gross type C esophageal atresia/tracheoesophageal fistula (EA/TEF).Methods Medical records of patients with Gross type C EA/TEF who were diagnosed and treated in Beijing Children’s Hospital from January 2007 to January 2020 were retrospectively collected. They were divided into 2 groups according to whether postoperative pneumothorax was occurred. Univariate and multivariate logistic regression analysis were performed to identify risk factors for pneumothorax.Results A total of 188 patients were included, including 85 (45%) in the pneumothorax group and 103 (55%) in the non-pneumothorax group. Multivariate logistic regression analysis showed that postoperative anastomotic leakage [P < 0.001, OR 3.516 (1.859, 6.648)] and mechanical ventilation [P = 0.012, OR 2.399 (1.210, 4.758)] were independent risk factors for pneumothorax after EA/TEF repair. The further analysis of main parameters of mechanical ventilation after surgery showed that none of them were clearly related to the occurrence of pneumothorax. Among the 85 patients with pneumothorax, 33 gave up after surgery and 52 received further treatment [conservative observation (n = 20), pleural puncture (n = 11), pleural closed drainage (n = 9), both pleural puncture and closed drainage (n = 12)]. All of the 52 patients were cured of pneumothorax at discharge.Conclusions Anastomotic leakage and postoperative mechanical ventilation were risk factors for pneumothorax after repair of Gross type C EA/TEF, but the main parameters of mechanical ventilation had no clear correlation with pneumothorax. After symptomatic treatment, the prognosis of pneumothorax was good.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Pneumothorax After Repair of Esophageal Atresia/Tracheoesophageal Fistula: A Case Control Study

Zhao

Shen

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous studies have shown that there is a certain relationship between mechanical ventilation and pneumothorax [ 17 , 18 ], but the causes of pneumothorax have not been analyzed in detail, and the sample size is very small. In this study, the results suggested that mechanical ventilation was one of the possible risk factors for pneumothorax, and we further compared and analyzed the specific parameters of mechanical ventilation.…”

Section: Discussionmentioning

confidence: 99%

“…Some scholars [ 17 ] believe that the application of continuous positive airway pressure (CPAP) during the withdrawal period or after the removal of endotracheal intubation might be related to the production of pneumothorax, but only 2 cases were mentioned in their study, and the values of PEEP and FiO 2 were not provided. Diez [ 18 ] reported 3 patients with pneumothorax after tracheal intubation and CPAP, and the PEEP values were 5, 6 and 6 cmH 2 O respectively.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of pneumothorax after repair of esophageal atresia/tracheoesophageal fistula

Zhao

Shen

et al. 2021

BMC Pediatr

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Background To analyze the possible causes, treatment and outcomes of postoperative pneumothorax in patients with Gross type C esophageal atresia/tracheoesophageal fistula (EA/TEF). Methods Medical records of patients with Gross type C EA/TEF who were diagnosed and treated in Beijing Children’s Hospital from January 2007 to January 2020 were retrospectively collected. They were divided into 2 groups according to whether postoperative pneumothorax occurred. Univariate and multivariate logistic regression analysis were performed to identify risk factors for pneumothorax. Results A total of 188 patients were included, including 85 (45 %) in the pneumothorax group and 103 (55 %) in the non-pneumothorax group. Multivariate logistic regression analysis showed that postoperative anastomotic leakage [P < 0.001, OR 3.516 (1.859, 6.648)] and mechanical ventilation [P = 0.012, OR 2.399 (1.210, 4.758)] were independent risk factors for pneumothorax after EA/TEF repair. Further analysis of main parameters of mechanical ventilation after surgery showed that none of them were clearly related to the occurrence of pneumothorax. Among the 85 patients with pneumothorax, 33 gave up after surgery and 52 received further treatment [conservative observation (n = 20), pleural puncture (n = 11), pleural closed drainage (n = 9), both pleural puncture and closed drainage (n = 12)]. All of the 52 patients were cured of pneumothorax at discharge. Conclusions Anastomotic leakage and postoperative mechanical ventilation were risk factors for pneumothorax after repair of Gross type C EA/TEF, but the main parameters of mechanical ventilation had no clear correlation with pneumothorax. After symptomatic treatment, the prognosis of pneumothorax was good.

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A brief comment on pneumothorax during extubation period of esophageal atresia repair

Cited by 2 publications

References 1 publication

Retrospective Analysis of Pneumothorax After Repair of Esophageal Atresia/Tracheoesophageal Fistula: A Case Control Study

Retrospective Analysis of Pneumothorax After Repair of Esophageal Atresia/Tracheoesophageal Fistula: A Case Control Study

Retrospective analysis of pneumothorax after repair of esophageal atresia/tracheoesophageal fistula

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