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Related Experiment Videos

Neonatal pneumopericardium with high-frequency ventilation.

R C Neal1, D E Beck, V C Smith

  • 1Department of General Surgery, Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas.

The Annals of Thoracic Surgery
|February 1, 1989
PubMed
Summary

High-frequency ventilation in neonates can cause pneumopericardium, a rare condition. Prompt treatment with pericardial drainage tubes successfully resolved the condition in all affected infants.

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Area of Science:

  • Neonatal Medicine
  • Pediatric Critical Care
  • Cardiology

Background:

  • Pneumopericardium is a rare and life-threatening condition in newborns.
  • High-frequency ventilation (HFV) is a critical respiratory support method for neonates.
  • The association between HFV and pneumopericardium has not been previously documented.

Purpose of the Study:

  • To report the occurrence of pneumopericardium in neonates treated with high-frequency ventilation.
  • To describe the diagnostic and therapeutic approach for this condition.
  • To evaluate the outcomes of neonates with pneumopericardium associated with HFV.

Main Methods:

  • Retrospective review of 8 neonates diagnosed with pneumopericardium while on HFV.
  • Diagnosis confirmed via chest radiography.

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  • Treatment involved pericardiocentesis with needle catheter and subsequent pericardial chest tube placement (10F-14F).
  • Main Results:

    • Pneumopericardium developed in all 8 neonates during HFV.
    • All 8 patients showed resolution of pneumopericardium following drainage.
    • Five of the 8 neonates survived and were discharged; 3 died from underlying conditions.

    Conclusions:

    • Pneumopericardium is a significant complication in neonates receiving HFV.
    • Effective management includes prompt diagnosis and drainage via pericardial tube.
    • While drainage improves pneumopericardium, underlying conditions remain a factor in neonatal mortality.