Is Spontaneous Pneumothorax Really a Pediatric Problem? A National Perspective

Dotson, Kurtis; Timm, Nathan; Gittelman, Mike

doi:10.1097/pec.0b013e31824d9a65

Cited by 50 publications

(52 citation statements)

References 22 publications

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“…Causes of SSP include connective tissue disorders, interstitial lung disease, and malignancies, but a recent assessment of a national inpatient database noted asthma without status asthmaticus as the most common associated condition. 3 As seen in our patient, most SPs occur when the individual is at rest or under mild exertion. Our patient also exhibited very classic presenting symptoms: ipsilateral chest pain that may radiate to the shoulder, dyspnea, and a dry cough.…”

Section: Spontaneous Pneumothorax: a Textbook Presentationmentioning

confidence: 89%

“…8 Admission and observation may be all that are required in up to 30% of patients with SP, but the most common interventions for SP include chest tube drainage, bleb excision, and thoracoscopy. 3 Regardless of intervention, a significant concern after resolution of a primary SP is recurrence.…”

Section: Management Of Spontaneous Pneumothoraxmentioning

confidence: 99%

“…2 In fact, around 82% of SPs occurring in patients between the ages of 0 and 17 years were noted in those older than age 15 years, with only 7% occurring in those younger than age 10 years. 3 Knowledge of the pathogenesis of SP may also assist the clinician in suspecting the diagnosis. Acute increases in pressure at the alveolar-pleural interface are known to distend and rupture alveoli.…”

Section: Making the Call: A Need For Suspicionmentioning

confidence: 99%

See 2 more Smart Citations

A 16-Year-Old Boy with Acute Chest Pain and Shortness of Breath

Murthy¹,

Holmes²,

Giese³

et al. 2015

Pediatr Ann

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Section: Spontaneous Pneumothorax: a Textbook Presentationmentioning

confidence: 89%

Section: Management Of Spontaneous Pneumothoraxmentioning

confidence: 99%

Section: Making the Call: A Need For Suspicionmentioning

confidence: 99%

See 1 more Smart Citation

A 16-Year-Old Boy with Acute Chest Pain and Shortness of Breath

Murthy¹,

Holmes²,

Giese³

et al. 2015

Pediatr Ann

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“…This could have affected the observed incidence of postoperative nausea/vomiting. Moreover, it is known that males are more susceptible to pneumothorax than females (37), which may explain why most patients in this study were male.…”

Section: Limitationmentioning

confidence: 93%

Non-intubated thoracoscopic bullectomy under sedation is safe and comfortable in the perioperative period

et al. 2018

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Background: Non-intubated thoracoscopic surgery can be performed under sedation using adjuvant regional anesthesia, however, the benefits of non-intubated thoracoscopic surgery under sedation have not yet been completely verified. In this study, we compare the perioperative safety and pain complaints of sedation without intubation in thoracoscopic bullectomy with that of conventional general anesthesia with double-lumen intubation and mechanical ventilation. Methods: Forty-one patients with primary spontaneous pneumothorax who were scheduled for thoracoscopic bullectomy were enrolled in this study. Twenty-one patients were under sedation anesthesia (SA group) and 20 patients were under general anesthesia (GA group). In SA group, sedation was done with dexmedetomidine (a loading dose of 1 μg/kg for 10 min and then maintained in dosages of 0.3-1 μg/kg/h) and ketamine (2-4 mg/kg/h intraoperatively). Meanwhile, in GA group, induction with propofol and rocuronium, intubation with double lumen endotracheal tube and maintenance with 1.0-2.5% sevoflurane was done. In both groups, thoracoscopic bullectomy was performed in the same manner and all operations were conducted by single surgeon. Time for anesthesia [including emergence time and post-anesthesia care unit (PACU) recovery time] and operation, postoperative pain, sore throat, hoarseness, adverse events (nausea, vomiting, hypotension and bradycardia), dose of rescue analgesic drug used for 24 hours post-operatively and perioperative arterial blood gas analysis were recorded. Results: The times for anesthesia, operation and emergence were significantly shorter in SA than GA.Incidence of sore throat were significantly lower in SA. The difference of other adverse events in the two groups was not significant. Conclusions:Our study demonstrated that compared to double-lumen intubation with general anesthesia, non-intubation with sedation for bullectomy for primary spontaneous pneumothorax was safe and efficient to reduce perioperative time.

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“…The prevalence of spontaneous neonatal pneumothorax is twice in male as in female neonates [2]. It should be suspected in any neonate in respiratory distress after rule out serious cause like congenital heart disease [3].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Pneumothorax in a Term Neonate: A Case Report

Gharibvand

2018

Asian J Pharm Clin Res

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Spontaneous pneumothorax does not occur frequently in the newborn. The prevalence of spontaneous neonatal pneumothorax is twice in male as in female neonates. It should be suspected in any neonate with respiratory distress. In this article, we present a 2.6 kg term male neonate who developed respiratory distress 14 h after birth. An urgent chest X-ray anteroposterior was ordered for evaluation. Chest X-ray revealed a left-sided pneumothorax along with mediastinal and tracheal shift to the opposite side which was suggestive of tension pneumothorax. If considerable distress persists, continuous drainage of the pneumothorax should be provided by means of an intercostal drainage and an underwater seal.

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Is Spontaneous Pneumothorax Really a Pediatric Problem? A National Perspective

Abstract: Although uncommon in children, SP appears to be primarily a condition of males and adolescents and appears to be increasing in incidence in this population. According to these data, a large portion of children are being managed without procedural intervention.

Cited by 50 publications

References 22 publications

A 16-Year-Old Boy with Acute Chest Pain and Shortness of Breath

A 16-Year-Old Boy with Acute Chest Pain and Shortness of Breath

Non-intubated thoracoscopic bullectomy under sedation is safe and comfortable in the perioperative period

Spontaneous Pneumothorax in a Term Neonate: A Case Report

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