Pneumothorax in a preterm during tracheoesophageal fistula repair: Challenges in diagnosis and management

Sharma, Ridhima; Dwivedi, Deepak; Choudhary, Ripon

doi:10.4103/sja.sja_231_17

Cited by 2 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgical position: During lateral recumbent surgery in newborns, the mediastinum compresses the supine lung, and the activity of the diaphragmatic muscles on the recumbent side is more limited than that of the contralateral diaphragm, so neonatal alveoli rupture and pneumothorax occurs when the supine lung is ventilated at a higher airway pressure. Sharma et al [ 23 ] reported a case of sudden pneumothorax in a neonatal left recumbent position during tracheoesophageal fistula (TEF) repair, with a high suspicion that the pneumothorax was caused by increased lung compliance and ventilation under high airway pressure after fistula ligation.…”

Section: Risk Factorsmentioning

confidence: 99%

Review of risk factors, clinical manifestations, rapid diagnosis, and emergency treatment of neonatal perioperative pneumothorax

Zhang¹,

Zhang²,

Ren³

2022

World J Clin Cases

View full text Add to dashboard Cite

Perioperative neonatal pneumothorax (NP) is rare but very fatal. Most of the surgeries and treatments in the neonatal period are time-limited or emergent, and there are often some risk factors for pneumothorax before surgery. Physicians, surgeons and anesthesiologists need to identify possible risk factors for pneumothorax before surgery in preterm babies, patients receiving mechanical ventilation and those with underlying lung disease. The clinical presentation of NP is nonspecific, and patients may rapidly develop life-threatening complications if not promptly diagnosed and managed. This review highlights recent progress in the identification of risk factors, clinical manifestations, diagnosis and management of NP during the perioperative period.

show abstract

Section: Risk Factorsmentioning

confidence: 99%

Review of risk factors, clinical manifestations, rapid diagnosis, and emergency treatment of neonatal perioperative pneumothorax

Zhang¹,

Zhang²,

Ren³

2022

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…For example, a recent study demonstrated that diaphragm thickness measured before anesthetic induction correlates with time to extubation in patients undergoing liver transplants. Time to extubation after the procedure was higher in patients with pre-operative end expiratory diaphragm thickness of less than 2 mm [58].…”

Section: Future Directionsmentioning

confidence: 99%

A narrative review of diaphragm ultrasound to predict weaning from mechanical ventilation: where are we and where are we heading?

2019

View full text Add to dashboard Cite

Background The use of ultrasound to visualize the diaphragm is well established. Over the last 15 years, certain indices of diaphragm function, namely diaphragm thickness, thickening fraction and excursion have been established for mechanically ventilated patients to track changes in diaphragm size and function over time, to assess and diagnose diaphragmatic dysfunction, and to evaluate if these indices can predict successful liberation from mechanical ventilation. In the last 2 years, three meta-analyses and a systematic review have assessed the usability of diaphragmatic ultrasound to predict successful weaning. Since then, further data have been published on the topic. Conclusions The aim of this narrative review is to briefly describe the common methods of diaphragmatic function assessment using ultrasound techniques, before summarizing the major points raised by the recent reviews. A narrative summary of the most recent data will be presented, before concluding with a brief discussion of future research directions in this field.

show abstract

Pneumothorax in a preterm during tracheoesophageal fistula repair: Challenges in diagnosis and management

Cited by 2 publications

References 6 publications

Review of risk factors, clinical manifestations, rapid diagnosis, and emergency treatment of neonatal perioperative pneumothorax

Review of risk factors, clinical manifestations, rapid diagnosis, and emergency treatment of neonatal perioperative pneumothorax

A narrative review of diaphragm ultrasound to predict weaning from mechanical ventilation: where are we and where are we heading?

Contact Info

Product

Resources

About