論文

査読有り 国際誌
2020年10月7日

Successful treatment with positive airway pressure ventilation for tension pneumopericardium after pericardiocentesis in a neonate: a case report.

JA clinical reports
  • Makiko Tani
  • ,
  • Tomoyuki Kanazawa
  • ,
  • Naohiro Shioji
  • ,
  • Kazuyoshi Shimizu
  • ,
  • Tatsuo Iwasaki
  • ,
  • Hiroshi Morimatsu

6
1
開始ページ
79
終了ページ
79
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1186/s40981-020-00384-x

BACKGROUND: Pneumopericardium in neonates is often associated with respiratory diseases, of which positive pressure ventilation (PPV) is an exacerbating factor. Here, we present a neonate case of pneumopericardium after cardiac surgery which was resolved after applying PPV. CASE PRESENTATION: A 28-day-old neonate with left recurrent nerve palsy after aortic reconstruction for interrupted aortic arch developed pericardial effusion. Pericardiocentesis was performed under general anesthesia, and a drainage tube was left in the pericardium. After extubation, stridor gradually exacerbated, following hemodynamic deterioration. A chest X-ray demonstrated pneumopericardium. Upper airway stenosis due to recurrent nerve palsy developed excessive negative pleural pressure, and air was drawn into pericardium via the insertion site of the drainage tube. After tracheal intubation and applying PPV, the pneumopericardium improved. CONCLUSION: PPV does not always exacerbate pneumopericardium. In a patient with pericardial-atmosphere communication, increased inspiration effort can cause pneumopericardium, and PPV is a therapeutic option to alleviate the pneumopericardium.

リンク情報
DOI
https://doi.org/10.1186/s40981-020-00384-x
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33029685
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7541804
ID情報
  • DOI : 10.1186/s40981-020-00384-x
  • PubMed ID : 33029685
  • PubMed Central 記事ID : PMC7541804

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