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Neonatal pneumopericardium

Y W Brans, M Pitts, G Cassady

    American Journal of Diseases of Children (1960)
    |April 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Pneumopericardium in neonates with hyaline membrane disease, often linked to positive pressure ventilation, requires prompt diagnosis and treatment. Prompt catheter drainage and suction are recommended for improved outcomes in these critical cases.

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    Area of Science:

    • Neonatal Medicine
    • Pediatric Cardiology
    • Respiratory Medicine

    Background:

    • Hyaline membrane disease is a common respiratory distress in neonates.
    • Positive pressure ventilation is frequently used to manage neonatal respiratory distress.

    Observation:

    • Six cases of pneumopericardium were observed in neonates with hyaline membrane disease over six months.
    • Five neonates received positive inspiratory or expiratory pressure ventilation.
    • Associated extra-alveolar air collections were present in most cases.

    Findings:

    • Sudden decreases in partial pressure of oxygen (PaO2) were the sole diagnostic indicator in three cases.
    • Pericardial aspiration was performed in four neonates, with one mortality and three survivors (some with unrelated later deaths).

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  • Delayed treatment or spontaneous resolution followed by recurrence contributed to a fatal outcome in one case.

    • Implications:

    • Prompt diagnosis of pneumopericardium in neonates is crucial, especially when associated with respiratory distress and ventilation.
    • Continuous catheter drainage with suction is suggested as the indicated treatment for pneumopericardium in neonates.
    • Further research into optimal management strategies for neonatal pneumopericardium is warranted.