Abstract
Pneumothorax is a potentially life-threatening condition in the setting of the neonatal special-care nursery (SCN) that may result in rapid deterioration and death. The familiar appearances associated with pneumothorax on AP supine chest radiograph are highly specific, but limited in sensitivity. In this case report, we describe the theory and technique of thoracic ultrasound for detection of pneumothorax in the SCN, providing a viable alternative to the cross-table lateral radiograph without ionising radiation, with highly accurate results, and with minimal patient positioning.
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References
Ogata ES, Gregory GA, Kitterman JA, et al (1976) Pneumothorax in the respiratory distress syndrome: incidence and effect on vital signs, blood gases, and pH. Pediatrics 58:177–183
Lipscomb AP, Thorburn RJ, Reynolds EO, et al (1981) Pneumothorax and cerebral haemorrhage in preterm infants. Lancet 1:414–416
Tocino I, Miller M, Fairfax W (1985) Distribution of pneumothorax in the supine and semi-recumbent critically ill patient. AJR Am J Roentgenol 144:901–905
Hoffer FA, Ablow RC (1984) The cross-table lateral view in neonatal pneumothorax. AJR Am J Roentgenol 142:1283–1286
Wernecke K, Galanski M, Peters P, et al (1987) Pneumothorax: evaluation by ultrasound-preliminary results. J Thorac Imag 2:76–78
Lichtenstein D, Meziere G, Biderman P, et al (1999) The comet-tail artifact: an ultrasound sign ruling out pneumothorax. Intensive Care Med 25:383–388
Dulchavsky SA, Schwarz KL, Kirkpatrick AW, et al (2001) Prospective evaluation of thoracic ultrasound in the detection of pneumothorax. J Trauma 50:201–205
Rowan KR, Kirkpatrick AW, Liu D, et al (2002) Traumatic pneumothorax detection with thoracic US: correlation with chest radiography and CT—-initial experience. Radiology 225:210–214
Goodman TR, Traill ZC, Phillips AJ, et al (1999) Ultrasound detection of pneumothorax. Clin Radiol 54:736–739
Acknowledgement
We would like to acknowledge the contributions of Avash Singh, M.D. for providing additional clinical history.
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Liu, D.M., Forkheim, K., Rowan, K. et al. Utilization of ultrasound for the detection of pneumothorax in the neonatal special-care nursery. Pediatr Radiol 33, 880–883 (2003). https://doi.org/10.1007/s00247-003-0964-z
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DOI: https://doi.org/10.1007/s00247-003-0964-z