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Pigtail catheters versus traditional chest drains for pneumothorax treatment in two NICUs.

猪尾导管与传统胸腔引流用于两个 nicu 气胸治疗的比较。

  • 影响因子:2.24
  • DOI:10.1007/s00431-019-03478-6
  • 作者列表:"Panza R","Prontera G","Ives KN","Zivanovic S","Roehr CC","Quercia M","Schettini F","Bianchi FP","Tafuri S","Di Mauro A","Laforgia N
  • 发表时间:2020-01-01
Abstract

:Pneumothorax in newborns can be life-threatening. The traditional treatment of pneumothorax is chest drain placement. Recently, modified pigtail catheter has been proposed as a less traumatic approach despite limited experience in infants. To compare the effectiveness and safety of pigtail catheters versus traditional straight chest drains in term and preterm infants with pneumothorax, in two tertiary neonatal units: Policlinico Hospital in Bari, IT and John Radcliffe Hospital in Oxford, UK. We retrospectively reviewed medical records of 47 newborns with pneumothorax admitted to the two units between October 2009 and June 2017, and treated with either pigtail catheters or straight chest drains. Three newborns (6.7%) were excluded from the study because they were treated with both types of drains. The remaining 44 neonates were included in the analysis. Overall, 56.8% (n = 25/44) of pneumothoraces were drained with pigtail catheters and 43.2% (n = 19/44) with straight drains. No differences in gestational age and birth weight were found. The success rate, defined as complete radiological resolution of the pneumothorax after drainage, was significantly higher in the pigtail group (96.0% versus 73.7%; p  0.05).Conclusion: Pigtail catheters are a safe and effective alternative to traditional chest drains for infants with pneumothorax. What is Known:• Air leaks in newborns can represent an emergency, especially among preterms;• The first treatment in a life-threatening pneumothorax is thoracentesis with needle aspiration or placement of a chest drain.What is New:• Pigtail catheter have been described as an alternative to traditional chest drains;• Pigtail catheters are a safe and effective alternative to traditional chest drains for infants with pneumothorax.

摘要

: 新生儿气胸可危及生命。气胸的传统治疗方法是放置胸腔引流管。最近,尽管婴儿经验有限,但改良猪尾导管被提出为一种创伤较小的方法。比较猪尾导管与传统直胸引流管在足月和早产儿气胸中的有效性和安全性,在两个三级新生儿病房: 巴里的 Policlinico 医院, 它和英国牛津的约翰 · 拉德克利夫医院。我们回顾性分析了 2009年10月至 2017年6月期间两个单位收治的 47 例气胸新生儿的病历,采用猪尾导管或直胸引流管治疗。3 例新生儿 (6.7%) 被排除在研究之外,因为他们接受了两种类型的引流管治疗。其余 44 例新生儿纳入分析。总体而言,56.8% (n = 25/44) 的气胸用猪尾导管引流,43.2% (n = 19/44) 用直引流管引流。未发现胎龄和出生体重的差异。猪尾组的成功率 (定义为引流后气胸的完全放射学消退) 显著高于对照组 (96.0% vs 73.7%; p 0.05)。结论: 猪尾导管是一种安全有效的替代传统胸腔引流管治疗婴幼儿气胸的方法。已知: • 新生儿漏气可能代表紧急情况,特别是在 preterms 中; • 危及生命的气胸的第一种治疗方法是针吸胸腔穿刺术或放置胸腔引流管。什么是新的: • 猪尾导管被描述为传统胸腔引流管的替代品; • 猪尾导管是气胸婴儿传统胸腔引流管的安全有效替代品。

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影响因子:3.94
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DOI:10.1016/j.taap.2019.114847
作者列表:["Bernstein DM","Toth B","Rogers RA","Kling DE","Kunzendorf P","Phillips JI","Ernst H"]

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影响因子:4.04
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DOI:10.1042/BST20191010
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