Neonatal pneumopericardium: Current management

Edward E. Lawson, Jeffrey B. Gould, H. William Taeusch

Research output: Contribution to journalArticle

Abstract

Neonatal pneumopericardium (PPC) is a frequently encountered complication of ventilator therapy. However, the appropriate management remains controversial. We describe seven infants who demonstrate the clinical spectrum of PPC. It is apparent that PPC can occur as an asymptomatic finding and may not require invasive therapy. PPC may present also with cardiac tamponade and require immediate diagnosis and therapy. Simple needle pericardiocentesis is appropriate therapy for most cases with tamponade, however a few babies with PPC uncontrolled by needle aspiration require placement of pericardial catheter for continuous drainage of the air. Mortality from PPC with tamponade (86% without therapy) should be much improved with modern management.

Original languageEnglish (US)
Pages (from-to)181-185
Number of pages5
JournalJournal of pediatric surgery
Volume15
Issue number2
DOIs
StatePublished - Apr 1980
Externally publishedYes

Keywords

  • Neonatal pneumopericardium
  • neonate

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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