Management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance

Hameedi, Sophia; Hu, Helen; Angueyra, Chantal; Kabagambe, Sandra; Parravicini, Elvira

doi:10.1016/j.epsc.2021.102075

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Cases in the literature report strategies ranging from noninvasive conservative management, 4,5 to placement of percutaneous chest drains into the cyst for decompression, [6][7][8][9][10] or full surgical resection. [11][12][13] Treatment often is stepwise and initially consists of treating potential underlying causes, such as high ventilation pressures or infection, followed by gentle ventilation strategies.…”

Section: Discussionmentioning

confidence: 99%

Clinical curiosity: How long should we wait? Management of ventilator associated pneumatocele in an extremely preterm infant

Madani Kia,

McKinney,

Dicken

et al. 2024

Pediatric Pulmonology

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Pneumatoceles, gas-filled cysts within the lung, may occur in ventilated extreme preterm infants, but rarely need intervention. 1 We present a case of an extremely preterm infant with a persistent large pneumatocele, which resulted in a management dilemma. | CASE PRESENTATIONThis baby was born at 23 + 5 weeks gestational age to a healthy 30-year-old gravida four para one woman. Serologies were protective with no antenatal exposures. Fetal anatomy by ultrasound was normal. She presented at 23 + 0 weeks with rupture of membranes and received two doses of betamethasone. The infant was then delivered via emergency caesarian section for cord prolapse. Apgar scores were 2, 5, 7 at 1, 5, and 10 min respectively. Birth weight was 600 g (50th−90th percentile). Neonatal resuscitation included mask

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Section: Discussionmentioning

confidence: 99%

Clinical curiosity: How long should we wait? Management of ventilator associated pneumatocele in an extremely preterm infant

Madani Kia,

McKinney,

Dicken

et al. 2024

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

“…Additionally, increased incidence of secondary outcomes such as pneumonia has been reported. Therapeutic interventions, such as lateral decubitus positioning, unilateral lung intubation, and ultrasound‐guided percutaneous drainage, have been reported 3 . Contemporary management of pneumatoceles involves diagnosis with radiography followed by an initial attempt of surfactant and gentle ventilation, though this may not be sufficient in more advanced pneumatoceles 2 .…”

Section: Introductionmentioning

confidence: 99%