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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

[Chylothorax: experience in a paediatric intensive care unit]

J Lumbreras Fernández1, J I Sánchez Díaz

  • 1Departamento de Pediatría, Hospital Universitario 12 de Octubre, Madrid, España. jlumfer@gmail.com

Anales De Pediatria (Barcelona, Spain : 2003)
|May 5, 2009
PubMed

Insights

Chylothorax treatment in pediatric intensive care units shows somatostatin is effective in 73% of cases with minimal side effects. This study highlights key complications and treatment responses in pediatric chylothorax management.

Area of Science:

  • Pediatric critical care medicine
  • Thoracic surgery
  • Gastroenterology

Context:

  • Chylothorax is a common complication post-pediatric cardiothoracic surgery.
  • Effective management strategies and prognostic factors remain unclear.
  • This study reviews cases within a pediatric intensive care unit (PICU).

Purpose:

  • To detail the management of pediatric chylothorax in a PICU setting.
  • To identify prognostic factors influencing treatment response.
  • To analyze treatment outcomes and complications.

Summary:

  • A retrospective analysis of 24 pediatric chylothorax cases (2000-2007) was conducted.
  • Most cases (79.2%) followed congenital heart disease surgery.
  • Somatostatin demonstrated a 73% positive response rate with few side effects, while diet and parenteral nutrition showed lower efficacy.

Impact:

  • Identifies sepsis, hypoalbuminemia, and hemodynamic instability as significant complications.
  • Suggests somatostatin as a promising treatment option for refractory chylothorax.
  • Highlights the need for further research into prognostic factors for pediatric chylothorax.
Abstract

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