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Pneumothorax is a complication of respiratory distress syndrome, of which many preterm babies suffer. If significant, these pneumothoraces can be treated by the insertion of a chest drain. There are a number of different types of chest drain, and techniques of insertion. This study aims to establish both the quantitative nature, and emotional significance of neonatal pigtail chest drain scarring, as inserted via the Seldinger technique. Parents were interviewed by telephone and asked to send photographs of their child's scar to be graded. Researchers found that, on the whole, the scar size and severity was not significant, and that those interviewed generally agreed that while the scar served as a reminder of a traumatic time, its size was unimportant. These results may inform future practice on a basis of chest drain comparison; results imply that chest drains with the greatest efficacy should be used.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560801 | PMC |
http://dx.doi.org/10.1177/1179556519855384 | DOI Listing |
Pediatr Pulmonol
September 2025
Department of Paediatric Respiratory Medicine, Staffordshire Children's Hospital at Royal Stoke, University Hospitals of North Midlands NHS Trust, Stoke on Trent, UK.
Pleural empyema is a recognized complication of pneumonia and causes significant morbidity in children. Insertion of a small-bore chest drain shortens hospital admission but can be associated with pneumothorax. This is usually assumed to be caused by a bronchopleural fistula or a displaced drain and therefore under pressure, requiring surgical intervention.
View Article and Find Full Text PDFCureus
August 2025
Respiratory Medicine, Dartford and Gravesham NHS Trust, Dartford, GBR.
Pressure-dependent pneumothorax is an under-recognized but clinically significant phenomenon that complicates pleural fluid drainage, particularly in patients with non-expandable lungs due to malignancy or chronic pleural fibrosis. Unlike pressure-independent pneumothorax, this condition arises from the pronounced transpleural pressure gradient generated during therapeutic thoracentesis or chest drainage. This negative pressure transiently distorts the visceral pleura, allowing air to enter the pleural space until an equilibrium is reached.
View Article and Find Full Text PDFActa Paediatr
September 2025
Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Aim: Successful procedural performance in a Neonatal Intensive Care Unit (NICU) depends on skill performance and preparation. Checklists are beneficial, and video reviewing enhances adherence to guidelines. This study assessed whether video recordings can be used to assess checklist deviations, the extent to which proceduralists (doctors from 1 to ≥ 6 years of experience) deviate from checklists, and whether video recordings can help to improve existing and create new checklists.
View Article and Find Full Text PDFEur Heart J Case Rep
September 2025
Division of Cardiovascular Medicine, Department of Internal Medicine, Hyogo Prefectural Tamba Medical Centre, 2002-7, Isou, Hikami-cho, Tamba, Hyogo 669-3495, Japan.
Background: Traumatic mitral regurgitation (MR) is an exceptionally rare complication associated with blunt chest trauma, particularly following relatively low-impact injuries. In the critical and chaotic settings of polytrauma, its diagnosis is often delayed and can easily be overlooked. This oversight can lead to progressive haemodynamic deterioration and, ultimately, fatal outcomes.
View Article and Find Full Text PDFJ Emerg Med
August 2025
Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois.
Background: Pleural cavity decompression with surgical tube thoracostomy or placement of a pleural catheter is an integral component of therapy for air or fluid within the pleural cavity and a core skill in emergency medicine.
Objective: This narrative review provides a focused review of tube thoracostomy and pleural catheter placement in the emergency department.
Discussion: Surgical tube thoracostomy or pleural catheter placement is performed to remove air or fluid from the pleural cavity and can be a life-saving procedure with no absolute contraindications.