Abstract
Pneumopericardium is an uncommon condition in the neonate and has not to our knowledge, previously been reported in patients treated with high-frequency ventilation. The results of such treatment in 8 neonates seen in the Neonatal Intensive Care Unit, Wilford Hall USAF Medical Center, San Antonio, Texas, are presented. The mean gestational age was 35 weeks, and birth weight averaged 2.7 kg. The pneumopericardium developed while the patients were on high-frequency ventilation, and the diagnosis was confirmed with a chest radiogram. Treatment included pericardiocentesis with a needle cathetar followed by placement of a 10F to 14F chest tube into the pericardial space. The pneumopericardium resolved in all 8 patients. Three of the newborns died of underlying disease; 5 survived and were discharged from the hospital. Pneumopericardium in the neonate is a life-threatening complication, and appropriate therapy includes drainage with a pericardial tube placed under direct vision.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 274-277 |
| Number of pages | 4 |
| Journal | The Annals of Thoracic Surgery |
| Volume | 47 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jan 1 1989 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Neonatal pneumopericardium with high-frequency ventilation. / Neal, Richard C.; Beck, David E.; Smith, V. C.; Null, Donald.
In: The Annals of Thoracic Surgery, Vol. 47, No. 2, 01.01.1989, p. 274-277.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Neonatal pneumopericardium with high-frequency ventilation
AU - Neal, Richard C.
AU - Beck, David E.
AU - Smith, V. C.
AU - Null, Donald
PY - 1989/1/1
Y1 - 1989/1/1
N2 - Pneumopericardium is an uncommon condition in the neonate and has not to our knowledge, previously been reported in patients treated with high-frequency ventilation. The results of such treatment in 8 neonates seen in the Neonatal Intensive Care Unit, Wilford Hall USAF Medical Center, San Antonio, Texas, are presented. The mean gestational age was 35 weeks, and birth weight averaged 2.7 kg. The pneumopericardium developed while the patients were on high-frequency ventilation, and the diagnosis was confirmed with a chest radiogram. Treatment included pericardiocentesis with a needle cathetar followed by placement of a 10F to 14F chest tube into the pericardial space. The pneumopericardium resolved in all 8 patients. Three of the newborns died of underlying disease; 5 survived and were discharged from the hospital. Pneumopericardium in the neonate is a life-threatening complication, and appropriate therapy includes drainage with a pericardial tube placed under direct vision.
AB - Pneumopericardium is an uncommon condition in the neonate and has not to our knowledge, previously been reported in patients treated with high-frequency ventilation. The results of such treatment in 8 neonates seen in the Neonatal Intensive Care Unit, Wilford Hall USAF Medical Center, San Antonio, Texas, are presented. The mean gestational age was 35 weeks, and birth weight averaged 2.7 kg. The pneumopericardium developed while the patients were on high-frequency ventilation, and the diagnosis was confirmed with a chest radiogram. Treatment included pericardiocentesis with a needle cathetar followed by placement of a 10F to 14F chest tube into the pericardial space. The pneumopericardium resolved in all 8 patients. Three of the newborns died of underlying disease; 5 survived and were discharged from the hospital. Pneumopericardium in the neonate is a life-threatening complication, and appropriate therapy includes drainage with a pericardial tube placed under direct vision.
UR - http://www.scopus.com/inward/record.url?scp=0024593912&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0024593912&partnerID=8YFLogxK
U2 - 10.1016/0003-4975(89)90286-5
DO - 10.1016/0003-4975(89)90286-5
M3 - Article
C2 - 2919912
AN - SCOPUS:0024593912
VL - 47
SP - 274
EP - 277
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 2
ER -