November 4, 2025Nov 4 Preterm, severe RDS, ventilated, tension pneumothorax resolved with chest drain, no reaccumulation for >24 hours, low MAP, FiO2 25%, off iNO. Which you would do first - extubate or remove chest drain?
November 6, 2025Nov 6 Chest drain is very painful. Opioids are no problem on a ventilated baby. And before Cpap we want to be sure that there no second pneumothorax occurrs. So I would remove chest drain first
November 7, 2025Nov 7 After clamping there is no reaccumulation of air, removal of chest tube should be first followed by extubation. It’s my opinion
November 7, 2025Nov 7 Would extubate first. Reason being that preterm baby after extubation usually requires CPAP/ NIPPV/HHFNC which do carry some risk of pneumothorax.
November 18, 2025Nov 18 I think they are not related to each other. if no reaccumulation of pneumothorax after clamping, remove the tube. if fit for extubation, extubate whichever comes first
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