Tip 60: pneumothorax

Pneumothorax is more frequent in the neonatal period than at any other time in life, significantly more so in infants <1500g.

The risk for pneumothorax is increased in infants with:

  • respiratory distress syndrome
  • meconium aspiration syndrome
  • pulmonary hypoplasia
  • infants who need resuscitation at birth
  • CPAP and positive pressure ventilation.

References:

Litmanovitz, I., 2008. Expectant Management of Pneumothorax in Ventilated Neonates. Pediatrics; 122 (5): e975 -e979. (1992-2005, 136 infants.)

Rennie & Roberton’s Textbook of Neonatology, 5th Ed, 2005. London: Churchill.

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