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Related Concept Videos

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Tracheostomy Care I: Pre-procedural Steps01:16

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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Tracheostomy Suctioning II: Procedure01:23

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Updated: Oct 11, 2025

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
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Safely Inserting Neonatal Chest Drains.

Rangmar Goelz1, Sabrina Krumrey2, Klaus Dietz3

  • 1Department of Neonatology, University Children's Hospital Tuebingen, Tübingen, Germany.

Neonatology
|November 29, 2021
PubMed
Summary
This summary is machine-generated.

Chest drain insertion in neonates can risk pericardial injury. This study provides chest wall thickness and pleura-heart distance data to enhance safety for left-sided neonatal pneumothorax procedures.

Keywords:
Chest drain insertion depthLow birth weight infantsPneumothoraxReference dataSafety corridor

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Area of Science:

  • Neonatal medicine
  • Thoracic surgery
  • Pediatric cardiology

Background:

  • Left-sided chest drain insertion for neonatal pneumothorax carries a risk of pericardial penetration.
  • Defining safe anatomical corridors is crucial for neonatal thoracic procedures.

Purpose of the Study:

  • To establish reference ranges for chest wall thickness (CWT) and the distance between the parietal pleura and pericardium in neonates.
  • To improve the safety of chest tube insertion for left-sided neonatal pneumothorax.

Main Methods:

  • Prospective ultrasound measurements of CWT in 20 neonates (640-2,700 g).
  • Measurement of the pleura-heart distance from 131 neonatal chest X-rays across various birth weights.
  • Calculation of weight-dependent percentiles to define a safe insertion corridor.

Main Results:

  • A narrow but safe corridor for needle tip placement was identified with at least 97.5% probability for all birth weights.
  • The safety corridor width varied: 4.6-5.2 mm for the 4th intercostal space and 2.8-3.4 mm for the 5th intercostal space.

Conclusions:

  • Provides crucial reference data for left-sided chest drain insertion in neonates weighing less than 2,700 g.
  • Aims to reduce the risk of iatrogenic injury during this critical procedure.