Emilio Escobar Posted June 4 Share Posted June 4 Hello, everyone. Could you please provide me with management guidelines for neonatal pneumopericardium and pneumomediastinum? Thanks in advance 1 Link to comment Share on other sites More sharing options...
Stefan Johansson Posted June 9 Share Posted June 9 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. 1 Link to comment Share on other sites More sharing options...
Nathan Sundgren Posted June 9 Share Posted June 9 Agree with @Stefan Johansson. First priority is - is it a problem? If emergent then you might just have to go in blindly. In my one near emergency, I was able to get cardiology to use echo guided needle pericardiocentesis. 1 Link to comment Share on other sites More sharing options...
Manuel Posted June 30 Share Posted June 30 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. 1 Link to comment Share on other sites More sharing options...
gmavrogeorgos Posted July 20 Share Posted July 20 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. 1 2 Link to comment Share on other sites More sharing options...
Nathan Sundgren Posted July 20 Share Posted July 20 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. Impressive size! Any cause identified for this pneumopericardium? I think I understand spontaneous pneumothorax causes, but spontaneous pneumopericardium??? 1 Link to comment Share on other sites More sharing options...
gmavrogeorgos Posted July 21 Share Posted July 21 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 1 Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now