A case report of the transport of an infant with a tension pneumopericardium.

Abstract

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
• Journal: Advances in neonatal care : official journal of the National Association of Neonatal Nurses (Adv Neonatal Care) Vol. 5 Issue 4 Pg. 190-200; quiz 201-3 (Aug 2005) ISSN: 1536-0903 [Print] United States
• PMID: 16084477 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Humans
• Infant, Newborn
• Intensive Care, Neonatal (methods)
• Male
• Neonatal Nursing (methods)
• Patient Transfer (methods)
• Pneumopericardium (complications, diagnosis, nursing)
• Pneumoperitoneum (complications, diagnosis, nursing)
• Treatment Outcome