Document Detail


A case report of the transport of an infant with a tension pneumopericardium.
MedLine Citation:
PMID:  16084477     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neonatal pneumopericardium is a potentially fatal complication of positive-pressure ventilation and has become rare with the advent of surfactant replacement therapy. The clinical diagnosis, stabilization, treatment, and nursing care of an infant with pneumopericardium has not previously been discussed in the nursing literature. In this case report, delays in the recognition and definitive treatment of the pneumopericardium were encountered, resulting in the transport of an infant with a tension pneumopericardium and pneumoperitoneum. Root-cause analysis is used to identify contributing factors and examine system changes necessary to prevent the transport of another patient with a similar potentially life-threatening condition. Pneumopericardium should be suspected in any infant with an acute deterioration, especially in the presence of normal, equal breath sounds and muffled heart sounds, because prompt recognition and definitive treatment may be life-saving.
Authors:
Barbara C Mordue
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Advances in neonatal care : official journal of the National Association of Neonatal Nurses     Volume:  5     ISSN:  1536-0903     ISO Abbreviation:  Adv Neonatal Care     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-08     Completed Date:  2005-11-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  190-200; quiz 201-3     Citation Subset:  IM    
Affiliation:
Department of Advanced Practice Nursing, Loma Linda University Children's Hospital, Loma Linda, CA 92354, USA. bmordue@ahs.llumc.edu
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MeSH Terms
Descriptor/Qualifier:
Humans
Infant, Newborn
Intensive Care, Neonatal / methods
Male
Neonatal Nursing / methods*
Patient Transfer / methods*
Pneumopericardium / complications,  diagnosis,  nursing*
Pneumoperitoneum / complications,  diagnosis,  nursing
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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