Clinical presentation and improvised management of neonatal pneumothorax in the setting of a low-resource country: Conakry, Guinea.
Details
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_7BDB907BD8CF
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Clinical presentation and improvised management of neonatal pneumothorax in the setting of a low-resource country: Conakry, Guinea.
Journal
BMJ case reports
ISSN
1757-790X (Electronic)
ISSN-L
1757-790X
Publication state
Published
Issued date
22/03/2021
Peer-reviewed
Oui
Volume
14
Number
3
Pages
e235801
Language
english
Notes
Publication types: Journal Article ; Case Reports
Publication Status: epublish
Publication Status: epublish
Abstract
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.
Keywords
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
Yes
Create date
30/03/2021 11:38
Last modification date
09/08/2024 16:01