Ultrasound guided percutaneous relief of tension pneumomediastinum in a 1-day-old newborn

Mohamed, Ibrahim; Lee, Yi Horng; Yamout, Sani Z.; Fakir, Sami; Reynolds, Anne Marie

doi:10.1136/bcr.2006.114322

Cited by 8 publications

(12 citation statements)

References 5 publications

(6 reference statements)

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“…36 Other authors successfully performed a LUS-guided drainage of a lifethreatening tension pneumomediastinum. 90 Even in the absence of specific studies, the use of LUS is advisable in these situations, where enough expertise exists, as LUS will likely assist the operator and make the procedure easier. LUS has been shown to be effective for verifying endotracheal tube (ETT) position in patients of different ages.…”

Section: Standardised Protocol For Functional Lus: the Safe Algorithmmentioning

confidence: 99%

Point-of-care lung ultrasound in neonatology: classification into descriptive and functional applications

et al. 2018

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Lung ultrasound (LUS) is the latest amongst imaging techniques: it is a radiation-free, inexpensive, point-of-care tool that the clinician can use at the bedside. This review summarises the rapidly growing scientific evidence on LUS in neonatology, dividing it into descriptive and functional applications. We report the description of the main ultrasound features of neonatal respiratory disorders and functional applications of LUS aiming to help a clinical decision (such as surfactant administration, chest drainage etc). Amongst the functional applications, we propose SAFE (Sonographic Algorithm for liFe threatening Emergencies) as a standardised protocol for emergency functional LUS in critical neonates. SAFE has been funded by a specific grant issued by the European Society for Paediatric Research. Future potential development of LUS in neonatology might be linked to its quantitative evaluation: we also discuss available data and research directions using computer-aided diagnostic techniques. Finally, tools and opportunities to teach LUS and expand the research network are briefly presented.

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Section: Standardised Protocol For Functional Lus: the Safe Algorithmmentioning

confidence: 99%

Point-of-care lung ultrasound in neonatology: classification into descriptive and functional applications

et al. 2018

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“…Besides, it was multiseptated and we decided that mediastinal tube drainage not to be beneficial to resolve respiratory symptoms as performed in other non-septated cases. [7] But in our patient despite spontaneous resolution of pneumomediastinum, confirmed with chest radiographs, with oxygen treatment, respiratory distress still persisted so accompanying PS or pneumonia might be the causative etiology. As clearly known congenital pneumonia may lead to prolonged respiratory distress symptoms.…”

Section: Discussionmentioning

confidence: 43%

Mass Effect of Pulmonary Sequestration: Multiloculated–Multiseptated Pneumomediastinum

Ünal¹,

Türkyılmaz²,

Derinkuyu³

et al. 2016

J Neonatal Surg

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Pulmonary sequestration (PS) and pneumomediastinum are two rare clinical diseases. Pneumomediastinum was generally observed in infants either with diseased lungs or who were performed assisted ventilation or resuscitation following birth. It was reported in patients with existing ectopic thoracic kidney and laryngeal cysts however, no coexisting congenital lung anomalies were reported. Here, we report the pneumomediastinum occurred due the extralobar PS because of the mass effect of the lesion.

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“…A further method utilizes the oesophageal hiatus to access the mediastinum via a mini-laparotomy. 10 In our patient, a subxiphoid approach was used, based largely on the clinical experience of the thoracic surgeon. The incision was made lateral to the xiphersternum with blunt dissection through the diaphragm.…”

Section: Discussionmentioning

confidence: 99%

Tension pneumomediastinum: A literal form of chest tightness

Clancy¹,

Lane²,

Flynn

et al. 2016

Journal of the Intensive Care Society

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Tension pneumomediastinum is a rare and life-threatening complication of mediastinal emphysema which can occur with mechanical ventilation. We present a case of tension mediastinum associated with mechanical ventilation in a patient with Acute Respiratory Distress Syndrome due to Pneumocystis jirovecii pneumonia. We discuss the mechanism and pathophysiology of tension pneumomediastinum, the potential association with Pneumocystis jirovecii pneumonia and recruitment manouvres, and its definitive emergency treatment.

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Ultrasound guided percutaneous relief of tension pneumomediastinum in a 1-day-old newborn

Cited by 8 publications

References 5 publications

Point-of-care lung ultrasound in neonatology: classification into descriptive and functional applications

Point-of-care lung ultrasound in neonatology: classification into descriptive and functional applications

Mass Effect of Pulmonary Sequestration: Multiloculated–Multiseptated Pneumomediastinum

Tension pneumomediastinum: A literal form of chest tightness

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