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Related Experiment Videos

Pleural effusions in the neonate.

Gustavo Rocha1, Paula Fernandes, Paula Rocha

  • 1Division of Neonatology, Department of Pediatrics, Hospital de São João, University Hospital, Porto, Portugal. gusrocha@oninet.pt

Acta Paediatrica (Oslo, Norway : 1992)
|June 28, 2006
PubMed
Summary
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Congenital pleural effusions in neonates often present as hydrops or chylothorax. Traumatic causes are most common in acquired cases, with congenital chylothorax being the leading congenital effusion.

Area of Science:

  • Neonatal Medicine
  • Pediatric Pulmonology
  • Perinatal Care

Background:

  • Pleural effusions are uncommon in neonates and linked to various clinical issues.
  • Limited literature exists on fetal and neonatal pleural effusions.

Purpose of the Study:

  • To investigate the causes and prognostic significance of pleural effusions in high-risk neonates.
  • To provide a comprehensive analysis of neonatal pleural effusion cases.

Main Methods:

  • Retrospective chart review of 62 neonates with pleural effusion.
  • Data collected from six tertiary medical centers in Northern Portugal (1997-2004).

Main Results:

  • Congenital pleural effusions (32%) included hydrops and congenital chylothorax (most common).

Related Experiment Videos

  • Acquired pleural effusions (68%) were predominantly traumatic (iatrogenic), including hemothorax and TPN-related leaks.
  • Post-thoracic surgery effusions were mainly chylothoraces; non-iatrogenic acquired effusions had no associated mortality.

    • Conclusions:

    • Congenital pleural effusions manifest as hydrops or congenital chylothorax.
    • Traumatic (iatrogenic) effusions are the most frequent acquired type in NICU settings.
    • Mortality in acquired pleural effusions is linked to underlying conditions, not the effusion itself.