Flayyih, F., Adil, S., Hussein, S., AL-Awqati, T. (2024). Characteristics of Pneumothorax in a Neonatal Unit at Al Yarmouk Teaching Hospital. , 23(1), 7-12. doi: 10.52573/ipmj.2024.138482
Farah Yassen Flayyih; Saja Mohammed Adil; Sawsan Ali Hussein; Tala A. AL-Awqati. "Characteristics of Pneumothorax in a Neonatal Unit at Al Yarmouk Teaching Hospital". , 23, 1, 2024, 7-12. doi: 10.52573/ipmj.2024.138482
Flayyih, F., Adil, S., Hussein, S., AL-Awqati, T. (2024). 'Characteristics of Pneumothorax in a Neonatal Unit at Al Yarmouk Teaching Hospital', , 23(1), pp. 7-12. doi: 10.52573/ipmj.2024.138482
Flayyih, F., Adil, S., Hussein, S., AL-Awqati, T. Characteristics of Pneumothorax in a Neonatal Unit at Al Yarmouk Teaching Hospital. , 2024; 23(1): 7-12. doi: 10.52573/ipmj.2024.138482

Characteristics of Pneumothorax in a Neonatal Unit at Al Yarmouk Teaching Hospital

Iraqi Postgraduate Medical Journal
Article 3, Volume 23, Issue 1, January 2024, Pages 7-12    PDF (246.65 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2024.138482
Authors
Farah Yassen Flayyih* 1; Saja Mohammed Adil1; Sawsan Ali Hussein1; Tala A. AL-Awqati2
1Pediatrician, Central Child Teaching Hospital, Baghdad, Iraq.
2Consultant Pediatrician, al Yarmuk Teaching Hospital, Baghdad, Iraq
Abstract
BACKGROUND:
Pneumothorax is the most common air-leak syndrome in neonatal period. It can be defined as accumulation of air between the parietal and visceral pleura.
OBJECTIVE:
To study the general characteristics, risk factors, causes, management details, and the outcomes of neonatal pneumothorax.
PATIENTS AND METHODS:
It is a prospective observational study included thirty infants at neonatal intensive care unit at Al-Yarmouk teaching hospital from 1st of October 2018 to the 30th of September 2019 and Patients were evaluated for: gender, gestational age, birth weight, Apgar score at 1&5 minutes, mode of delivery, time of pneumothorax development, localization, and the presence of lung pathology.
RESULTS:
During the study period, 1967 neonates admitted to Neonatal Intensive Care Unit, thirty infants were diagnosed. The incidence was 1.52%. This study showed that (70%) of neonates were male and (60%) had low birth weight. Respiratory distress syndrome was found in (60%). It occurs spontaneously in (23%), after invasive mechanical ventilation in 6 cases, and after noninvasive ventilation in 17 cases. Tube thoracostomy and closed underwater drainage were performed in 26 cases. Mortality rate was 43,3%.
CONCLUSION:
Pneumothorax occur more frequently with use of assisted ventilation, especially those with underlying medical illnesses, and it carries high risk mortality.
Keywords
Early Cesarean Section; Neonatal Intensive Care Unit; Respiratory Distress Syndrome
References
    1. Ianchulev SA, Gupta A, Schumann R. Pneumothorax in neonates: Complication during endotracheal intubation, diagnosis, and management. Journal of Anaesthesiology Clinical Pharmacology. 2016:32-3.
    2. Ramesh Bhat Yellanthoor and Vidya Ramdas. Frequency and Intensive Care Related Risk Factors of Pneumothorax in Ventilated Neonates. Pulm Med. 2014.
    3. Jane Pillow and Alan H. Jobe. Respiratory Disorders of the Newborn. Taussig Landau Lesouef Martinez, Morgan Sly. Pediatric Respiratory Medicine. 2nd edition..ELSEVIER, Philadelphia. 2008:365-86 .
    4. Ho Seop Lim, Ho Kim, Jang Yong Jin et al. Characteristics of Pneumothorax in a Neonatal Intensive Care Unit. Journal of the Korean Society of Neonatology. 2011;18:257.
    5. Ita Litmanovitz, Waldemar A. Carlo. Expectant management of pneumothorax in ventilated neonates. AAP.2008;122.
    6. McIntosh Neil, Stenson Ben. The newborn. Peter J. Helms, Rosalind L. Smyth et al. Forfar & Arneil’s textbook of pediatrics. 7th 2008. ELSEVIER.191–367p. Gomella TL,Cunningham MD,Eyal FG et al. Neonatology Management, Procedures, On-Call Problems, Diseases, and Drugs. 7th edition. 2013: 549-57.
    7. Gomella TL,Cunningham MD,Eyal FG et al. Neonatology Management, Procedures, On-Call Problems, Diseases, and Drugs. 7th 2013:549-57.
    8. Hadzic D, Skokic F, Husaric E et al. Risk Factors and Outcome of Neonatal Pneumothorax in Tuzla Canton. Mater Socio Medica. 2019;31:66.
    9. Mannan MA, Dey SK, Jahan N et al. Spectrum of Neonatal Pneumothorax at a Tertiary Care Hospital of Bangladesh : A Retrospective Observational Study. Bangladesh Crit Care Journal. 2019:12–9.
    10. Thomas K. McInerny , Henry M. Adam, Jane Meschan Foy et al. Textbook of pediatric care. 2nd edition. 2017.
    11. Lloyd J. Brown, Ryan J. Coller, Lee Todd Miller. Board review series: pediatrics. 2nd China. 2019:139-44.
    12. Adam A. Rosenberg, MD, Theresa Grover, MD. The Newborn Infant. William W. Hay, Robin R. Deterding, Myron J.et al. Current Diagnosis & Treatment Pediatrics. 22nd 2014:9-75.
    13. Mcmullan R. Guideline Women and Babies : Management of Pneumothorax in Newborn Infants Women and Babies. Health Sydney local health district.2017:1-16.
    14. Rennie JM , Kendall GS. A Manual of neonatal intensive Care. 7th ed.. CRC Press Taylor & Francis Group. london; 2013:40.
    15. Waldemar A.Carlo. The fetus and the newborn infant. R.Kliegman, Joseph W.St Geme, Nina F. Schor, et al. Nelson textbook of pediatrics. 20th. ELSEVIER, Philadelphia. 2016:818-833, 844-867.
    16. James M. Greenberg, Thomas A. Parker. Emergencies and Special Intensive Care. Colin D. Rudolph, Abraham M. Rudolph, George E. Lister et al. Rudolph’s Pediatrics. McGraw-Hill Companies. United States. 22th ed. 2011.
    17. Paola Papoff and Corrado Moretti. Pulmonary Air Leakage . Giuseppe Buonocore, Michael Weindling, Rodolfo Bracci. In: A Practical Approach to Neonatal Diseases. 1st. Springer-Verlag Italia. 2012:460-69.
 

  1. Silva ÍS, Flôr-de-lima F, Rocha G, Alves I. Pneumothorax in neonates : a level III Neonatal Intensive Care Unit experience. Journal of pediatrics and neonatal indiviualized medicine. 2016;5:1–8.
  2. Sopapan Ngerncham, Pornpat Kittiratsatcha, Preeyacha Pacharn. Risk Factors of Pneumothorax during the First 24 Hours of Life. Journal Med. Assoc. Thai.; Bangkok, Thailand, 2005;88:135–41.
  3. Al-fahham FS, Araji KK, Al-Qazzaz HM. A Prospective Study of Neonatal Pneumothorax in Holy Karbala. Karbala J. Med. 2015;8:2093–97.
  4. Apiliogullari B, Sunam GS,Ceran S et al. Evaluation of Neonatal Pneumothorax. The Journal of International Medical Research. 2011;2436–40.
  5. Malek A, Afzali N, Meshkat M et al. Pneumothorax after Mechanical Ventilation in Newborns. Iran J. Pediatric. 2011;21:45-50.
  6. Al Matary A, Munshi HH, Abozaid S et al. Characteristics of Neonatal Pneumothorax in Saudi Arabia: Three Years’ Experience. Oman Medical Journal. 2017;32:135–39.
  7. Kim E-A, Jung J-H, Lee S-Y et Neonatal Pneumothorax in Late Preterm and Full-Term Newborns with respiratory Distress: A Single-Center Experience. Neonatal Med 2022;29:18–27.
  8. Dhar DH, Paul D. Surfactant replacement therapy: an overview. International journal of science and healthcare research.2020;5:399-406.
 

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