Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Jan;30(1):194-197.
doi: 10.1177/1357633X211034316. Epub 2021 Jul 26.

Telemedicine-guided thoracentesis of tension pneumothorax in a term newborn

Affiliations
Case Reports

Telemedicine-guided thoracentesis of tension pneumothorax in a term newborn

Ayman Abou Mehrem et al. J Telemed Telecare. 2024 Jan.

Abstract

We describe a case of a term female infant born in a rural community hospital and who developed a left-sided spontaneous tension pneumothorax shortly after birth. We used telemedicine to guide the family physician and healthcare team at the referring hospital to perform a life-saving thoracentesis using an intravenous cannula. The cannula was kept in place to drain the persistent pneumothorax during transportation to the pediatric intensive care unit at the tertiary hospital.

Keywords: Telemedicine; neonate; pneumothorax; remote consultation; teleconsulting; telehealth; thoracentesis.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
First chest X-ray showing left tension pneumothorax.
Figure 2.
Figure 2.
Chest X-ray with the cannula in the left third intercostal space.

References

    1. Chernick V, Avery ME. Spontaneous alveolar rupture at birth. Pediatrics 1963; 32: 816–824. - PubMed
    1. Steele RW, Metz JR, Bass JW, et al. Pneumothorax and pneumomediastinum in the newborn. Radiology 1971; 98: 629–632. - PubMed
    1. Smith J, Schumacher RE, Donn SM, et al. Clinical course of symptomatic spontaneous pneumothorax in term and late preterm newborns: Report from a large cohort. Am J Perinatol 2011; 28: 163–168. - PubMed
    1. Al Tawil K, Abu-Ekteish FM, Tamimi O, et al. Symptomatic spontaneous pneumothorax in term newborn infants. Pediatr Pulmonol 2004; 37: 443–446. - PubMed
    1. Fang JL, Campbell MS, Weaver AL, et al. The impact of telemedicine on the quality of newborn resuscitation: A retrospective study. Resuscitation 2018; 125: 48–55. - PubMed

Publication types