저체중출생 미숙아에서 발생한 양쪽 긴장기흉: 응급의학과 의사가 7-French 라텍스 카테터 4개를 사용하여 시행한 가슴관삽입
Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician
김민수, 박창원, 도영우, 노우영,
소속 상세정보
김민수 ( Kim Min-Su )
박창원 ( Park Chang-Won )
도영우 ( Do Young-Woo )
노우영 ( Nho Woo-Young )
Abstract
Neonatal tension pneumothorax is life-threatening. A tension pneumothorax on the right side was detected on a newborn boy weighing 2,380 g, who was born at 35 weeks of gestation. Given the unavailability of an on-duty thoracic surgeon and appropriately sized chest tubes in the neonatal intensive care unit, an emergency physician performed closed thoracostomy using two 7-French latex catheters. Immediately after the re-expansion of the right lung, left tension pneumothorax was newly detected. Two more 7-French latex catheters were inserted, relieving the left lesion. We consider that the right pneumothorax occurred due to the mixture of spontaneous rupture of the subpleural blebs and barotrauma during the initial positive pressure ventilation, while the left lesion did due to the high-flow oscillatory ventilation. Despite the limited availability of devices in the present case, a favorable outcome was achieved by the use of alternative catheters, which were chosen by the emergency physician.
키워드
Infant; Low Birth Weight; Latex; Pneumothorax; Resuscitation; Thoracostomy; Urinary Catheterization
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