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Pneumothorax in a "stable"ventilated infant .Immediate chest tube or wait and see ??


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:confused:

This is about a 2 days old baby 36weeks,delivered by C section. Mother with urinary infection.

Dx with Pneumonia. Developed respiratory distress,managed with Survanta plus nasal CPAP.

X rays with Pneumothorax.Evacuated by needle puncture .(32cc of air ).

Persistent distress,intubated and with mechanical ventilation improved.

New X rays with 30 % ?? pneumothorax .Attending decided not to place chest tube.

Big controversy..I would like to hear your opinion in this case. Regards .

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I would like to see CXR too.I have experience for pneumothorax and do not on chest tube by using CPAP instead of ventilator ith 100% Oxygen.

Uraiwan

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  • 3 weeks later...
:confused:

This is about a 2 days old baby 36weeks,delivered by C section. Mother with urinary infection.

Dx with Pneumonia. Developed respiratory distress,managed with Survanta plus nasal CPAP.

X rays with Pneumothorax.Evacuated by needle puncture .(32cc of air ).

Persistent distress,intubated and with mechanical ventilation improved.

New X rays with 30 % ?? pneumothorax .Attending decided not to place chest tube.

Big controversy..I would like to hear your opinion in this case. Regards .

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  • 3 months later...
  • 7 months later...

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