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837 neonates required mechanical ventilation at the Neonatal Intensive Unit in the last five years. 136 of them developed tension pneumothorax. Authors report our experience in these patients, who underwent next protocol: 1. Early diagnosis. 2. Underwater-seal drainage. 3. Suction drainage. 4. Selective intubation of contralateral bronchus. 5. Surgical closure. We explain step to step the protocol, specially in the 15 neonates who needed surgery. In such cases, surgical survival was 100%, in the postoperative phase 93% and total survival reached 78.5%. Therefore, we recommend surgery closure in patients who maintain pulmonary fistula in spite of an aggressive conservative treatment.
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
January 2008,
The Turkish journal of pediatrics,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
July 1983,
The Journal of pediatrics,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
January 1959,
Virginia medical monthly,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
April 1985,
Praxis und Klinik der Pneumologie,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
December 1929,
Proceedings of the Royal Society of Medicine,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
January 1993,
Annales de chirurgie,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
January 1958,
Der Tuberkulosearzt,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
January 1992,
Zentralblatt fur Chirurgie,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
March 2011,
Interactive cardiovascular and thoracic surgery,
V Martínez Ibáñez, and
A Fina, and
S Salcedo, and
L Sanchís, and
C Marhuenda, and
A I Jiménez, and
J Boix-Ochoa
February 2001,
Ugeskrift for laeger,
