Pneumopericardium as a Rare Complication of Continuous Positive Airway Pressure in Spontaneously Breathing Neonates

Junghaenel, Shino; Sreeram, N; Démant, A; Vierzig, Anne; Kribs, Angela; Roth, Bernhard

doi:10.1055/s-0031-1298025

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…3,14,15 There have been a handful of reported cases of pneumopericardium that have occurred with the use of continuous positive airway pressure (CPAP). [6][7][8] However, only four cases of pneumopericardium occurring in term infants in the absence of resuscitative procedures, parenchymal lung disease or assisted ventilation have been reported [10][11][12][13] in the past 30 years. Other described cases of neonatal pneumopericardium have been associated with infection or trauma.…”

Section: Discussionmentioning

confidence: 99%

“…16 Moreover, the decreased number and size of Kohn pores in newborns leads to an inability for air to equilibrate between aerated and nonaerated alveoli. 8 The mechanism of spontaneous pneumopericardium in term infants with no mechanical ventilation or lung pathology is unclear. We presume that the high inflation pressure generated when neonates cry during the first few breaths may occasionally result in an alveolar rupture that eventually leads to pneumopericardium as described above.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the overall prognosis for spontaneous neonatal pneumopericardium (with or without CPAP) seems to be good. 6,8,[10][11][12][13]…”

Section: Discussionmentioning

confidence: 99%

“…1 Neonatal pneumopericardium has been well described in neonates with respiratory disorders that require assisted ventilation including respiratory distress syndrome, congenital pneumonia and meconium aspiration syndrome. 2,3 Premature infants with respiratory distress syndrome requiring mechanical ventilation 4,5 or even nasal continuous positive airway pressure [6][7][8] are particularly a higher risk group to develop pneumopericardium. Prompt recognition and treatment are vital for successful outcome.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous pneumopericardium in a term newborn: a case report

Haley¹,

Mishra²,

Bany-Mohammed³

2018

IJRRT

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Neonatal pneumopericardium (NPPC) is a rare clinical condition that is usually described in the context of neonatal respiratory diseases that require assisted ventilation. It is usually associated with other air-leak syndromes like pulmonary interstitial emphysema, pneumothorax, pneumomediastinum and subcutaneous emphysema. NPPC can lead to serious complications including sudden cardiac arrest. Prompt recognition and treatment, if necessary, are important for successful outcome. Treatment options include pericardiocentesis, oxygen therapy for nitrogen wash-out and treating the underlying/associated other air-like syndromes like pneumothorax. We report a case of spontaneous pneumopericardium in a term neonate without any underlying lung pathology or exposure to positive pressure ventilation. The patient was treated successfully with oxygen therapy and discharged home without complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the overall prognosis for spontaneous neonatal pneumopericardium (with or without CPAP) seems to be good. 6,8,[10][11][12][13]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Spontaneous pneumopericardium in a term newborn: a case report

Haley¹,

Mishra²,

Bany-Mohammed³

2018

IJRRT

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“…2 Pneumopericardium resulting from CPAP exposure alone has been documented but is much rarer. 3 In the literature, most cases of pneumopericardium receiving no intervention had poor outcomes, although the exact mortality rate is unknown given the small number of documented cases. There are even fewer documented cases of neonates with spontaneous resolution as in our case.…”

Section: Referencesmentioning

confidence: 99%

Cystic hydrocephalus in a preterm neonate

2017

J Paediatrics Child Health

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Methods:A questionnaire was distributed to 331 parents and carers of inpatients and outpatients at The Children's Hospital at Westmead, Sydney in 2015. It consisted of 37 questions in eight sections, including the child's medical condition, whether parents searched, where parents searched, why parents searched, use of information found, assessment of information and assistance with searching. Most questions used tick-box responses, with a small number of free-text questions. Responses were tabulated and described by frequencies and percentages. Associations between participant demographics and survey responses were examined using chi-square tests.Results/Outcomes: In total 308 (93%) questionnaires were returned. Most participants (90%) reported searching for medical information about their child's health. Of these, 96% searched the internet and of these 63% used a smartphone. The most common reason for searching before seeing the doctor was to prepare questions. The most common reasons for searching after seeing the doctor were to know more and because participants had more questions. Only half (57%) ascertained whether an information source was reliable. Most (69%) wanted guidance on searching and 77% wanted help assessing reliability.There was strong evidence of a difference in responses between the age of participants and the device used to search. Older participants were more likely to use a computer (P < 0.001) and younger participants were more likely to use a smartphone (P < 0.001). There was no evidence of an association between propensity to search and participant demographics. However, parents who perceived their child's medical condition to be serious were more likely to search after seeing a doctor because they had 'more questions after thinking about what the doctor said' (P = 0.003).Conclusions: Almost all parents search online for medical information about their child's health but most are unsure whether the information they found was trustworthy and are hesitant to act on or present it to their child's doctor. Health professionals should be aware that parents search for information, and could incorporate this into discussions during medical consultations to dispel potential misunderstanding and provide guidance on searching. Background: Focal cortical dysplasia is a malformation of cortical development. It is the most common cause of medically refractory epilepsy in the paediatric population. 1 We would like to present a case of young boy with intractable epilepsy due to focal cortical dysplasia. References Methods:The content of this report was compiled by a retrospective review of electronic medical records and investigations. Written consent was obtained from the patient's parents.Case Report: This young boy presented at the age of 13 with a generalised seizure with focal onset. On reviewing the history, he was having episodes of numbness and posturing of the right arm from the age of nine. He was also struggling at school with moderate learning impairment. EEG confirmed focal epilepsy. MRI w...

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