Abstract
Abstract
Background: Pneumothorax is the most common air leak syndrome and far more frequent in the neonatal period than any other time of life.
Objective: To evaluate the etiologies of pneumothoraces in the neonatal intensive care unit (NICU).
Methods: In a prospective study, Barotrauma, Secondary pulmonary infections, unskilled endotracheal intubation, asynchrony between the patients breathing and ventilator and ventilation with self-inflating bag were studied on 50 NICU patients of Mofid children hospital.
Findings: MAP was above the critical level in 18% of the cases. 72% of cases had pneumothoraces in the right side and 16% bilaterally. Asychrony was seen in 38.6% of the cases, secondary pulmonary infections in 46% and malposition of ET tube in 36%. Ventilation with manual bag were done in all cases. The bags lacked manometer and pop-off valve.
Conclusion: Barotrauma had the main probable role in the etiology of pneumothoraces and is probably caused by self-inflating bags without pop-off valve and manometer.
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Copyright
© 2024, Journal of Inflammatory Diseases. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.