Research Article

Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury

Volume: 66 Number: 2 December 13, 2014
Dilek Kahvecioğlu *, Serdar Alan , Gülnur Göllü , Ömer Erdeve , Begüm Atasay , Murat Çakmak , Saadet Arsan
EN TR

Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury

Abstract

Newborn, tracheal injury, pneumomediastinum, subcutaneous emphysemia. Trakeal hasarlanma özellikle yenidoğanlarda nadir görülür ve hayatı tehdit eden komplikasyonları nedeniyle acil tanı ve tedavi gerektirir. Biz de bu makalede 342/7 haftada, 2160 gr doğan, surfaktan tedavisi verilmesi sırasında trakeal rüptür gelișen ve konservatif tedaviyle iyileșen bir kız yenidoğan olgusunu sunmayı amaçladık. Trakeal perforasyon gelișen yenidoğanlarda konservatif tedavide hasarlı bölgenin ilerisine endotrakeal tüp yerleștirilmesi, oral beslenmenin kesilmesi ve antibiyotik profilaksisi yer alır. Stabil vital bulguları olan hastalarda konservatif tedavi göz önünde bulundurulmalıdır.

Keywords

Yenidoğan, trakeal hasarlanma, pnömomediastinum, subkutan amfizem

References

  1. 1- Mendez R, Pensado A, Tellado M, et al Management of massive air leak following intubation injury in a very low birth weight infant. Br J Anaesth.2002;88:722-724.
  2. 2- Doherty KM, Tabaee A, Castillo M, et al. Neonatal tracheal rupture complicating endotracheal intubation: a case report and indications for conservative management. Int J Pediatr Otorhinolaryngol 2005;69:111-116.
  3. 3- Goudy SL, Miller FB, Bumpous JM. Neck crepitance: evaluation and management of suspected upper aerodigestive tract injury. Laryngoscope. 2002;112:791-795.
  4. 4- Schuman TA, Jacobs B, Walsh W, Goudy SL. Iatrogenic perinatal pharyngoesophageal injury: a disease of prematurity. Int J Pediatr Otorhinolaryngol. 2010;74:393-397.
  5. 8- Jo YY, Park WY, Choi E, Koo BN,
  6. 5- Krause MF, Hoehn T. Partial transsection of the neonatal trachea. Resusitation. 1998;38:43-46.
  7. 6- Wei JL, Bond J. Management and prevention of endotracheal intubation injury in neonates. Curr Opin Otolaryngol Head Neck Surg. 2011;19:474-477.
  8. 7- Kacmarynski DSF, Sidman JD, Rimell FL, Hustead VA. Spontaneous tracheal and subglottic tears in neonates. Laryngoscope. 2002;112:1387–1393. Kil HK. Delayed detection of subcutaneous emphysema following routine endotracheal intubation Korean J Anesthesiol 2010;59:220-223.
  9. 9- Watters KF, Lacy PD, Walsh RM. Massive subcutaneous emphysema following routine endotracheal intubation. J Laryngol Otol 2003;117:899-901.
APA
Kahvecioğlu, D., Alan, S., Göllü, G., Erdeve, Ö., Atasay, B., Çakmak, M., & Arsan, S. (2014). Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 66(2), 71-73. https://doi.org/10.1501/Tipfak_0000000844
AMA
1.Kahvecioğlu D, Alan S, Göllü G, et al. Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2014;66(2):71-73. doi:10.1501/Tipfak_0000000844
Chicago
Kahvecioğlu, Dilek, Serdar Alan, Gülnur Göllü, et al. 2014. “Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 66 (2): 71-73. https://doi.org/10.1501/Tipfak_0000000844.
EndNote
Kahvecioğlu D, Alan S, Göllü G, Erdeve Ö, Atasay B, Çakmak M, Arsan S (December 1, 2014) Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury. Ankara Üniversitesi Tıp Fakültesi Mecmuası 66 2 71–73.
IEEE
[1]D. Kahvecioğlu et al., “Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 66, no. 2, pp. 71–73, Dec. 2014, doi: 10.1501/Tipfak_0000000844.
ISNAD
Kahvecioğlu, Dilek - Alan, Serdar - Göllü, Gülnur - Erdeve, Ömer - Atasay, Begüm - Çakmak, Murat - Arsan, Saadet. “Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 66/2 (December 1, 2014): 71-73. https://doi.org/10.1501/Tipfak_0000000844.
JAMA
1.Kahvecioğlu D, Alan S, Göllü G, Erdeve Ö, Atasay B, Çakmak M, Arsan S. Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2014;66:71–73.
MLA
Kahvecioğlu, Dilek, et al. “Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 66, no. 2, Dec. 2014, pp. 71-73, doi:10.1501/Tipfak_0000000844.
Vancouver
1.Dilek Kahvecioğlu, Serdar Alan, Gülnur Göllü, Ömer Erdeve, Begüm Atasay, Murat Çakmak, Saadet Arsan. Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2014 Dec. 1;66(2):71-3. doi:10.1501/Tipfak_0000000844