Pneumopericardium in the Newborn

PEDIATRICS ◽  
1970 ◽  
Vol 46 (1) ◽  
pp. 117-119
Author(s):  
Jean-Marie Matthieu ◽  
Daniel Nussle ◽  
Antonio Torrado ◽  
Hossein Sadeghi
Keyword(s):  
Premature Infant ◽  
Emergency Treatment ◽  
Clinical Manifestations ◽  
Hyaline Membrane Disease ◽  
Assisted Ventilation ◽  
Positive Pressure ◽  
X Ray ◽  
Hyaline Membrane ◽  
Chest X Ray ◽  
Cardiac Silhouette

Pneumopericardium complicating the course of hyaline membrane disease in a newborn, premature infant is reported. The details of other instances of neonatal pneumopericardium although unassociated with hyaline membrane disease are reviewed. The clinical manifestations, similar to those of pneumomediastinum, appear very suddenly and can lead to cardiac tamponade. Most cases described in the newborn infant are a complication of assisted ventilation by intermittent positive pressure. The chest x-ray characteristically shows a zone of diminished density surrounding the cardiac silhouette. The prognosis is bad unless emergency treatment (puncture and aspiration) is promptly performed.

Criteria for Ventilatory Assistance in Hyaline Membrane Disease

PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 623-623
Author(s):  
D. Vidyasagar ◽  
Rosita S. Pildes
Keyword(s):  
Negative Pressure ◽  
Hyaline Membrane Disease ◽  
Assisted Ventilation ◽  
Positive Pressure ◽  
Ventilatory Assistance ◽  
Hyaline Membrane

The suggestion of O'Boyle et al.1 for the need to develop earlier criteria for assisted ventilation in infants with hyaline membrane disease (HMD) is important and deserves further comment. The use of continuous distending pressure (CDP) whether applied as a positive pressure airway (CPAP) or as a negative pressure around the chest (CNP) has significantly improved the prognosis in HMD. Overwhelming support for the use of these measures in every sick infant with HMD comes from a number of centers.2-4

scholarly journals Bronchopulmonary dysplasia in extremely premature infant with congenital lobar emphysema: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bingchun Lin ◽  
Huitao Li ◽  
Chuanzhong Yang
Keyword(s):  
Premature Infant ◽  
Bronchopulmonary Dysplasia ◽  
Premature Infants ◽  
Gestational Age ◽  
Middle Lobe ◽  
Severe Respiratory Distress ◽  
Congenital Lobar Emphysema ◽  
X Ray ◽  
Chest X Ray ◽  
Lobar Emphysema

Abstract Background Congenital lobar emphysema (CLE) is a congenital pulmonary cystic disease, characterized by overinflation of the pulmonary lobe and compression of the surrounding areas. Most patients with symptoms need an urgent surgical intervention. Caution and alertness for CLE is required in cases of local emphysema on chest X-ray images of extremely premature infants with bronchopulmonary dysplasia (BPD). Case presentation Here, we report a case of premature infant with 27 + 4 weeks of gestational age who suddenly presented with severe respiratory distress at 60 days after birth. Chest X-ray and computed tomography (CT) indicated emphysema in the middle lobe of the right lung. The diagnosis of CLE was confirmed by histopathological examinations. Conclusions Although extremely premature infants have high-risk factors of bronchopulmonary dysplasia due to their small gestational age, alertness for CLE is necessary if local emphysema is present. Timely pulmonary CT scan and surgical interventions should be performed to avoid the delay of the diagnosis and treatment.

Double Cardiac Silhouette on Lateral Chest X-Ray Graphy

2011 ◽  
Vol 29 (2) ◽  
pp. E52-E53 ◽  
Author(s):  
Ozcan Basaran ◽  
Ahmet Guler ◽  
Can Y. Karabay ◽  
Soe M. Aung ◽  
Arzu Kalayci ◽  
...  
Keyword(s):  
X Ray ◽  
Chest X Ray ◽  
Lateral Chest ◽  
Cardiac Silhouette

Management of an unusual presentation of foreign body aspiration

1992 ◽  
Vol 106 (8) ◽  
pp. 751-752 ◽  
Author(s):  
Hassan H. Ramadan ◽  
Nicolas Bu-Saba ◽  
Anis Baraka ◽  
Salman Mroueh
Keyword(s):  
Foreign Body ◽  
Subcutaneous Emphysema ◽  
Positive Pressure Ventilation ◽  
Intermittent Positive Pressure Ventilation ◽  
Foreign Body Aspiration ◽  
Positive Pressure ◽  
Review Of The Literature ◽  
X Ray ◽  
Post Surgery ◽  
Chest X Ray

AbstractForeign body aspiration is a very common problem in children and toddlers and still a serious and sometimes fatal condition. We are reporting on a 2-year-old white asthmatic male who choked on a chick pea and presented with subcutaneous emphysema, and on chest X-ray with an isolated pneumomediastinum but not pneumothorax. On review of the literature an isolated pneumomediastinum without pneumothorax was rarely reported. This presented a challenge in management mainly because of the technique that we had to use in order to undergo bronchoscopy and removal of the foreign body. Apnoeic diffusion oxygenation was used initially while the foreign body was removed piecemeal, and afterwards intermittent positive pressure ventilation was used. The child did very well, and his subcutaneous emphysema and pneumomediastinum remarkably improved immediately post surgery.

Abstract P18: Report on the Treatment Process and Impact of Mechanical Thrombectomy Before and After Coronavirus Disease in a Newly Opened Hospital of South Korea

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Jin EUN ◽  
Hae-Kwan Park
Keyword(s):  
Emergency Treatment ◽  
Treatment Process ◽  
Mechanical Thrombectomy ◽  
X Ray ◽  
X Ray Imaging ◽  
New Process ◽  
Before And After ◽  
Portable Chest ◽  
Chest X Ray ◽  
Adequate Management

Introduction: The difficulty neurointernvetionists face in keeping “Time is brain” in the middle of the COVID-19 pandemic are inevitable. Our health system began shutting down entire hospital for two weeks after a transport agent was diagnosed with COVID-19. It took an additional two weeks to establish the process of emergency treatment. We intend to introduce our protocols and report on their progress so far. Post-COVID-19 Protocol (Figure 1) Methods: A total of 52 patients underwent mechanical thrombectomy at Eunpyeong St. Mary’s Hospital before the Covid-19 outbreak. For 18 patients who underwent mechanical thrombectomy through a new process after COVID-19, door-to-image time, door-to-puncture time, and TICI grade were compared. Results: For the treatment of all patients, portable chest x-ray imaging was performed, but the door-to-initial-brain-image time (min) was 15.5 vs. 15 (before COVID-19 vs. after COVID-19) (p=0.265). Door-to-needle-time (min) showed a delay of 9 minutes, from 144.5 to 153.5, but it was not statistically significant (p=0.299). Up to 95.2% of patients before COVID-19 achieved TICI grade 2b or higher, and 100% of patients after COVID-19 have achieved TICI grade 2b or 3. (Table 1) Conclusions: Overall, there was a slight increase in the door-to-needle time, but clear protocols and guidelines for management and collaboration with the clinical workforce have been able to reduce delays and ensure timely and adequate management. When referring to the protocol implemented while preparing for infectious diseases, it will be a reference not only for COVID-19, but also for other diseases that may occur in the future.

Tension Pneumopericardium Following Assisted Ventilation in Hyaline Membrane Disease

Radiology ◽  
1973 ◽  
Vol 106 (1) ◽  
pp. 175-178 ◽  
Author(s):  
Stuart S. Sagel ◽  
Penington Wimbush ◽  
David B. Goldenberg
Keyword(s):  
Hyaline Membrane Disease ◽  
Assisted Ventilation ◽  
Hyaline Membrane ◽  
Tension Pneumopericardium

scholarly journals Idiopathic Chylopericardium in a Young Adult: Diagnosis and Management

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
João Pedro E. Sant’Ana ◽  
Amanda O. Vicente ◽  
Amanda S. Pereira ◽  
Pedro V. Bertozzi ◽  
Rodrigo A. S. Sardenberg
Keyword(s):  
Chest Pain ◽  
Pleural Effusion ◽  
Chest Ct ◽  
Pericardial Window ◽  
X Ray ◽  
Large Pericardial Effusion ◽  
Chest X Ray ◽  
Cardiac Silhouette ◽  
The Right ◽  
Precipitating Factor

Primary idiopathic chylopericardium (PIC) is an uncommon cardiologic disorder; it is defined as accumulation of lymph in the pericardial sac without any know precipitating factor. A 25-year-old presented with dyspnea and chest pain for over two months. The patient underwent a chest X-ray, which revealed an enlargement of cardiac silhouette and signs of cardiac tamponade. Chest CT was performed, revealing large pericardial effusion and small pleural effusion on the right hemithorax. The patient was referred to the ICU and underwent a pericardial window through VATS, which revealed 500 ml of a milky fluid.

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