Clinical presentation and improvised management of neonatal pneumothorax in the setting of a low-resource country: Conakry, Guinea.
Détails
Etat: Public
Version: Final published version
Licence: CC BY-NC 4.0
ID Serval
serval:BIB_7BDB907BD8CF
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Clinical presentation and improvised management of neonatal pneumothorax in the setting of a low-resource country: Conakry, Guinea.
Périodique
BMJ case reports
ISSN
1757-790X (Electronic)
ISSN-L
1757-790X
Statut éditorial
Publié
Date de publication
22/03/2021
Peer-reviewed
Oui
Volume
14
Numéro
3
Pages
e235801
Langue
anglais
Notes
Publication types: Journal Article ; Case Reports
Publication Status: epublish
Publication Status: epublish
Résumé
Two neonates were presented at the Neonatology Department of the Institute of Child Nutrition and Health in Conakry, Guinea, with tension pneumothoraces as confirmed by chest X-ray. They were initially managed with needle thoracentesis but required continuous thoracic drainage. Due to scarce resources in the public health sector, no prepacked and dedicated pleural drainage systems were available as is the case in many developing countries. Therefore, we fabricated an improvised underwater seal drain out of a plastic infusion bottle and a Heimlich valve out of a vicryl fingerstall. Both devices have shown to be effective. Pneumothorax is a common and potentially life-threatening disease in neonates that often requires prompt treatment. This case series demonstrates how tension pneumothorax in two newborns was successfully managed by improvising different chest drainage systems. The depicted techniques shall serve as an instruction manual to healthcare professionals working in low-resource settings and facing similar challenges.
Mots-clé
Chest Tubes, Child, Guinea, Humans, Infant, Newborn, Pneumothorax/diagnostic imaging, Pneumothorax/therapy, Thoracentesis, Thoracostomy, emergency medicine, infant health, neonatal health, paediatrics, pneumothorax
Pubmed
Web of science
Open Access
Oui
Création de la notice
30/03/2021 11:38
Dernière modification de la notice
09/08/2024 16:01