TITLE

Mediastinal tube placement in a premature infant with cardiorespiratory derangement due to ventilator associated pneumomediastinum

AUTHOR(S)
DESSARDO, SANDRO; TOMULIĆ, KRISTINA LAH; FRLETA, NEVEN; DESSARDO, NADA SINDIČIĆ
PUB. DATE
April 2009
SOURCE
Signa Vitae;Apr2009, Vol. 4 Issue 1, p27
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
While mediastinal free air in the ventilated newborn is usually benign, tension pneumomediastinum can lead to further cardiorespiratory compromise due to the compression of mediastinal structures, including the heart and large blood vessels. The authors present a case of life-threatening pneumomediastinum in a ventilated preterm leading to abrupt onset of cardiorespiratory failure. An 8 French (Fr) drainage catheter was placed in the anterior mediastinum using the 2nd right intercostal space as an insertion site, with prompt hemodynamic improvement. A brief description of the drainage technique and a literature review is presented.
ACCESSION #
41135998

 

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