Back to Search
Start Over
Pneumomediastinum in the neonatal and paediatric intensive care unit
- Source :
- European Journal of Pediatrics
- Publisher :
- Springer Nature
-
Abstract
- The incidence, aetiology and pathophysiology of pneumomediastinum (PM), an uncommon and potentially serious disease in neonates and children, were evaluated. A retrospective chart review of all patients diagnosed with PM who were hospitalised in the intensive care unit of the University Children’s Hospital Zurich, Switzerland, from 2000 to 2006, was preformed. We analysed the incidence, severity and causes of PM and investigated the possible differences between neonatal and non-neonatal cases. Seven children and nine neonates were identified with PM. All patients had a good outcome. Six cases of PM in the group of children older than 4 weeks were deemed to be caused by trauma, infection and sports, whereas one case was idiopathic. All nine neonatal cases presented with symptoms of respiratory distress. We were able to attribute four cases of neonatal PM to pulmonary infection, immature lungs and ventilatory support. Five neonatal cases remained unexplained after careful review of the hospital records. In conclusion, PM in children and neonates has a good prognosis. Mostly, it is associated with extrapulmonary air at other sites. It is diagnosed by chest X-ray alone. We identified mechanical events leading to the airway rupture in most children >4 weeks of life, whereas we were unable to identify a cause in half of the neonates studied (idiopathic PM).
- Subjects :
- Subcutaneous emphysema
Pediatrics
medicine.medical_specialty
Respiratory distress syndrome
Adolescent
Pneumomediastinum
610 Medicine & health
Pneumopericardium
Intensive Care Units, Pediatric
Severity of Illness Index
law.invention
Diagnosis, Differential
Age Distribution
law
Intensive Care Units, Neonatal
Severity of illness
Medicine
Humans
2735 Pediatrics, Perinatology and Child Health
Pediatrics, Perinatology, and Child Health
Child
Mediastinal Emphysema
Retrospective Studies
Original Paper
Respiratory distress
business.industry
Incidence (epidemiology)
Incidence
Infant, Newborn
Infant
Retrospective cohort study
Air leak
Length of Stay
medicine.disease
Intensive care unit
Survival Rate
10036 Medical Clinic
Child, Preschool
Pediatrics, Perinatology and Child Health
Radiography, Thoracic
medicine.symptom
business
Switzerland
Subjects
Details
- Language :
- English
- ISSN :
- 03406199
- Volume :
- 167
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- European Journal of Pediatrics
- Accession number :
- edsair.doi.dedup.....18492f3c01f64e3c54deeb590a3c56ad
- Full Text :
- https://doi.org/10.1007/s00431-007-0517-9