Fibrin glue pleurodesis for pneumothorax in extremely preterm infants: a case report and literature review

BACKGROUND: Chest tube drainage and mechanical ventilation are effective treatment of symptomatic pneumothorax (PTX), but the best management of persistent (> 7 days) PTX is unknown. CASE PRESENTATION: We reported a case of successful fibrin glue pleurodesis of persistent PTX in an extremely pret...

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Detalles Bibliográficos
Autores principales: Drovandi, Livia, Cianchi, Ilaria, Pratesi, Simone, Dani, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092810/
https://www.ncbi.nlm.nih.gov/pubmed/30107847
http://dx.doi.org/10.1186/s13052-018-0533-6
Descripción
Sumario:BACKGROUND: Chest tube drainage and mechanical ventilation are effective treatment of symptomatic pneumothorax (PTX), but the best management of persistent (> 7 days) PTX is unknown. CASE PRESENTATION: We reported a case of successful fibrin glue pleurodesis of persistent PTX in an extremely preterm infant without adverse effects. We discussed previous literature on this treatment. CONCLUSIONS: Overall, the twelve reported cases suggest that persistent PTX sealing with fibrin glue can represent a simple, quick, and effective treatment whose possible reported adverse effects are transient and do not cause permanent sequelae. Thus, fibrin glue pleurodesis might be considered a suitable therapeutic tool in very preterm infant with persistent PTX.

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