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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Pediatric emergencies: thoracic emergencies
1Department of Radiology, University Hospitals, Herestraat 49, 3000 Leuven, Belgium. luc.breysem@uz.kuleuven.ac.be
Insights
Pediatric emergencies demand rapid diagnosis, with radiology crucial for accurate assessment. This review categorizes acute respiratory and esophageal pathologies in children, aiding timely intervention.
Area of Science:
- Pediatric Radiology
- Emergency Medicine
- Thoracic Pathology
Background:
- Emergencies necessitate prompt diagnosis and intervention.
- Radiology is vital for accurate diagnosis in acute pediatric conditions.
- Acute thoracic pathologies in children encompass respiratory and esophageal issues.
Purpose of the Study:
- To review and categorize acute respiratory pathologies in pediatric age groups.
- To differentiate between airflow and pulmonary parenchymal involvement.
- To briefly discuss acute esophageal emergencies in children.
Main Methods:
- Review of causes of acute respiratory pathology in pediatric patients.
- Classification of pathologies based on airflow involvement versus parenchymal involvement.
- Inclusion of esophageal and pleural pathologies, and cardiogenic emergencies.
Main Results:
- Acute respiratory pathologies were divided into those affecting airflow and those affecting pulmonary parenchyma.
- Pathologies involving airflow can be intrinsic or extrinsic, affecting various airway levels.
- Acute lung pathology can be congenital, infectious, tumoral, or traumatic.
Conclusions:
- A structured approach to pediatric thoracic emergencies is essential.
- Differentiating airflow and parenchymal pathologies aids diagnosis.
- Radiology is indispensable for managing acute pediatric thoracic conditions.
Abstract:
Emergencies always require rapid diagnosis and an urgent or semi-urgent medical, interventional, or surgical action. In most cases radiology plays an essential role in making an accurate diagnosis. Reviewing the causes of acute respiratory pathology in the different pediatric age groups, we thought it would be interesting to divide the pathologies into two main parts: one part concerning pathologies involving the air flow and the other part concerning pathology affecting the pulmonary parenchyma. We acknowledge, however, that both conditions can occur concomitantly. The esophagus is another anatomic structure in the thorax that can be responsible for acute pathology in children. Acute pathology predominantly involving the air flow can be intrinsic and/or extrinsic, affecting the upper airways, trachea, main and segmental bronchi, and the small airways. Acute lung pathology can be congenital, infectious, or less frequently, tumoral or traumatic in children. Pleural pathology and cardiogenic emergencies are discussed also. Acute esophageal pathology is discussed briefly.
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