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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

Identification of pneumothorax in very preterm infants

Risha Bhatia1, Peter G Davis, Lex W Doyle

  • 1Neonatal Services, The Royal Women's Hospital, Melbourne, Victoria, Australia. risha.bhatia@thewomens.org.au

The Journal of Pediatrics
|February 9, 2011
PubMed

Insights

Pneumothorax in very preterm infants significantly increases mortality and lung disease severity. Higher inspired oxygen levels in the first 12 hours may identify infants at risk for this condition.

Area of Science:

  • Neonatal Medicine
  • Pediatric Respiratory Medicine
  • Perinatal Research

Background:

  • Pneumothorax is a serious complication in very preterm infants.
  • Early identification of risk factors is crucial for timely intervention.

Purpose of the Study:

  • To compare morbidities in very preterm infants with and without pneumothorax.
  • To identify early indicators for pneumothorax risk in this population.

Main Methods:

  • Retrospective comparison of very preterm infants (23-28 weeks gestation) with and without pneumothorax.
  • Analysis of demographic and clinical data from birth through 72 hours.

Main Results:

  • Pneumothorax occurred in 9.2% of infants.
  • Mortality was significantly higher in the pneumothorax group (43% vs 13%).
  • Higher inspired oxygen levels in the first 12 hours were associated with pneumothorax.

Conclusions:

  • Pneumothorax is linked to increased mortality and lung disease severity in the first day of life.
  • Inspired oxygen fraction in the first 12 hours may predict pneumothorax risk.
Abstract

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