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[Pneumothorax in the newborn (author's transl)]
Klinische Padiatrie
|July 1, 1981
Summary
Pneumothorax occurred in 1.3% of neonatology patients. Artificially ventilated newborns had a higher risk of pneumothorax, with 11.7% of cases occurring in this group.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Critical Care
Context:
- The study reviewed 47 cases of pneumothorax in 3679 neonatology patients.
- Pneumothorax incidence was 1.3% in the general neonatology population.
- A significant proportion of pneumothoraces occurred in artificially ventilated infants.
Purpose:
- To determine the incidence of pneumothorax in a neonatology unit.
- To compare the occurrence of pneumothorax in ventilated versus non-ventilated neonates.
- To analyze the characteristics and risk factors associated with neonatal pneumothorax.
Summary:
- Of 47 pneumothorax cases, 38 (11.7%) occurred in artificially ventilated neonates, while only 9 (0.24%) occurred spontaneously.
- Pneumothorax in non-ventilated infants was limited to the early hours of life.
- Ventilated neonates consistently showed signs of tension pneumothorax, unlike spontaneous cases.
Impact:
- Highlights the increased risk of pneumothorax in artificially ventilated newborns.
- Suggests transillumination as a valuable bedside diagnostic tool for pneumothorax.
- Informs clinical practice regarding the prevention and management of pneumothorax in high-risk neonates.