[Surgical approach in persistent neonatal pneumothorax].
837 neonates required mechanical ventilation at the Neonatal Intensive Unit in the last five years. 136 of them developed tension pneumothorax. Authors report our experience in these patients, who underwent next protocol: 1. Early diagnosis. 2. Underwater-seal drainage. 3. Suction drainage. 4. Selective intubation of contralateral bronchus. 5. Surgical closure. We explain step to step the protocol, specially in the 15 neonates who needed surgery. In such cases, surgical survival was 100%, in the postoperative phase 93% and total survival reached 78.5%. Therefore, we recommend surgery closure in patients who maintain pulmonary fistula in spite of an aggressive conservative treatment.
Martínez Ibáñez
V
V
Fina
A
A
Salcedo
S
S
Sanchís
L
L
Marhuenda
C
C
Jiménez
A I
AI
Boix-Ochoa
J
J
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D008297:Male; D011030:Pneumothorax / Q000150:complications / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D012121:Respiration, Artificial / Q000009:adverse effects; D015996:Survival Rate
Actitud quirúrgica ante el neumotórax neonatal persistente.