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Doctor insights on: Neonatal Pneumothorax

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Dr. Ronald Krauser
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Neonatal (Definition)

The term neonatal is generally used to describe events that occur with an infant within the first 30 days after birth.Some practitioners are looser with the definition & extend the ...Read more


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What does it mean if my newborn has TTN and a pneumothorax?

What does it mean if my newborn has TTN and a pneumothorax?

TTN and PTX: TTN is transient tachypnea of the newborn. It typically will resolve with time and usually requires only supportive care. Some infants may be born with retained fluid in their lungs and natural mechanisms to balance fluids are in place. The pneumothorax or collapsed lung, may be due to delivery and pressure on the baby's chest. The treatment depends upon the extent of the pneumothorax. ...Read more

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How does a newborn infant get a pneumothorax and what's the difference between that an a tension pneumo?

How does a newborn infant get a pneumothorax  and what's the difference between that an a tension pneumo?

Colapsed Lung: A pneumothorax occurs when air gets in the the space between the chest wall and the lung. This space should not contain anything. So when air gets in, the lungs have to become smaller. A tension-pneumothorax is when the contents of the chest (heart, lung, collapsed lung) all shift to one side. Typically this is life threatening because blood cannot flow well. We don't always know why this is. ...Read more

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Is pneumothorax common?

Is pneumothorax common?

Yes: Pneumothorax can be spontaneous and occurs 7.4 and 1.2 per 100, 000 in men & women respectively. It also results after trauma, surgery, respirator therapy and needle biopsy of the lung. Some cases are treated conservatively, others require placement of a surgical chest tube for re-expansion of the lung. ...Read more

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Pneumothorax-- can it come on slowly ?

Pneumothorax-- can it come on slowly ?

Sort of...: It is estimated up to 10% of spontaneous pneumothoraces are asymptomatic and/or unrecognized. It is possible for someone to develop an asymptomatic pneumothorax that progresses and becomes symptomatic hours, even days later. ...Read more

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Is there a cure for pneumothorax?

Is there a cure for pneumothorax?

Yes: It may resolve on its own. It may require a catheter or tube to evacuate the air to relieve any shortness of breath. It may need surgery if it recurs to remove blebs (air cysts) at the top of the lung. ...Read more

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How can I treat tension pneumothorax?

Needle Decompression: Tension pneumothorax is one of the few medical emergencies where a life can be saved or lost in a matter of minutes if not recognized early. While diagnosis can be difficult, treatment is a simple, rapid needle decompression of the pleural space by inserting a large bore angiocatheter just above the 3rd rib. With the patient stabilized a larger chest tube is placed until the pneumothorax resolves. ...Read more

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How does pneumothorax happen for no reason?

How does pneumothorax happen for no reason?

Happens for a reason: Adolescents & young adults have "spontaneous" pneumothorax more frequently than other folks. The lung tissue usually has a minor congenital defect called a "bleb, " that bursts leading to a leak of air outside the lung - pneumothorax ensues. These folks are usually tall & lean. Of course, trauma can lead to pneumothorax, as can certain illnesses, particularly, marfan's syndrome. ...Read more

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How debilitating is a tension pneumothorax?

How debilitating is a tension pneumothorax?

Can be deadly: Tension pneumothorax occurs when pressure builds up in one side of the chest and collapses the lung. This is rapidly fatal and is treated as an emergency. Once it is released, a tube is left in the chest for a few days. After it is removed, people usually recover completely. ...Read more

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Can you tell me about pneumothorax surgery?

Can you tell me about pneumothorax surgery?

Several: The first one is the placement of a tube that will go into a water seal or suction to decrease the pressure in the chest cavity against the lung. You then wait for healing and closure. If unable they can do sealing with a clot, patching or oversewing, but the first one is best if it can do it. ...Read more

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What to do if I have surgery for pneumothorax?

A great treatment: Surgery for pneumothorax can be uncomfortable, but ultimately it is the best remedy for this condition. Ideally, it should never come back again after the surgery is done and you have recovered completely. It is very effective, and I have recommended it multiple times to my patients without hesitation. ...Read more

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What could a thoracotomy do for a pneumothorax?

Treatment: Agree with dr tsai. It is very uncommon to use thoracotomy approach for a simple pneumothorax. If surgery is indicated, it is most often by minimally invasive technique (vats). ...Read more

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Are pneumothorax and atelectasis the same thing?

No: Pneumothorax causes atelectasis but ther are other causes of lung collapse. ...Read more

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I would like info about spontaneous pneumothorax?

I would like info about spontaneous pneumothorax?

Unexpected: A spontaneous pneumothorax occurs when there is a sudden increase in pressure in the lung, causing a rupture. Most occur in people having a weakness on the surface of the lung, making it more susceptible to rupture. Treatment, if needed, is usually tube insertion for a first episode, and surgery for subsequent events. ...Read more

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What are the symptoms of spontaneous pneumothorax?

What are the symptoms of spontaneous pneumothorax?

Pain, short breath: Usually pain when it happens, then shortness of breath. Small spontaneous pneumothoraces may have no symptoms. ...Read more

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Is it okay to drink two days after a pneumothorax?

Is it okay to drink two days after a pneumothorax?

Yes: I can't think of a reason the patient cannot drink after a pneumothorax. If it is a pneumomediaatinum with associated esophageal rupture, then that would be reason to keep them npo. But not for a pneumothorax. ...Read more

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Why would someone need a thoracotomy for pneumothorax?

Why would someone need a thoracotomy for pneumothorax?

Prevent recurrence: Usually can be done with a video assisted technique avoiding a true thoracotomy. Recurrence is the usual indication for surgery or job/recreation that involve pressure changes such as scuba diviers and pilots. ...Read more

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