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neonatal pneumopericardium & pneumomediastinum


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Hi Emilio,

unless the air leaks create severe (life-threat) symtoms, such as cardiac tamponade - let is resolve spontaneously. Pneumomediastinum - same strategy.

Sticking needles into things always has the risk of causing 1) damage and 2) inflammation/infection.

 

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  • 3 weeks later...

I agree with Stephan and Nathan, Im from Mexico too Emilio, and unless there is a real emergency situation, we only observe, be carefully with your ventilator parameters, and any therapeutic decision ( specially pneumopericardium) it has to be ecochardiography guided.

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  • 3 weeks later...

An asymptomatic newborn was admitted from the postnatal ward, where they had an echo (as screening), and the cardiologist felt that something was funny and ordered a chest x-ray as shown! We did nothing and after 10 days it resolved spontaneously.

Screenshot 2023-07-20 at 14.42.19.jpeg

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4 hours ago, gmavrogeorgos said:

An asymptomatic newborn was admitted from the postnatal ward, where they had an echo (as screening), and the cardiologist felt that something was funny and ordered a chest x-ray as shown! We did nothing and after 10 days it resolved spontaneously.

Screenshot 2023-07-20 at 14.42.19.jpeg

Impressive size! Any cause identified for this pneumopericardium? I think I understand spontaneous pneumothorax causes, but spontaneous pneumopericardium???

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18 hours ago, Nathan Sundgren said:

Impressive size! Any cause identified for this pneumopericardium? I think I understand spontaneous pneumothorax causes, but spontaneous pneumopericardium???

No! no resuscitation at birth, breastfeeding on the postnatal ward! Medicine is full of surprises :)

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