1358 Resolution of Pneumothorax Using Inspired Fraction of 100% Oxygen

Abstract

Introduction: Air leaks, especially pneumothorax, are not rare events in NICU. The chest drain is one of the most painful procedures among the many that are performed on newborns. The breathing of 100% oxygen causes the capillary pressure becomes too low hastening the absorption of the pneumothorax.

Objectives: To describe the cases of pneumothorax in NICU and its evolution with the strategy of a hundred percent oxygen therapy.

Method: A descriptive study of cases of pneumothorax during the period of 36 months, using the database, software Epi-info, version 3.2, the CDC - made the measurements of frequency, average and standard deviation.

Results: In 36-month period, 827 hospitalized children. Of these, 17 had pneumothorax during their hospitalization - 2%. The average weight was 2.418 g and gestational age was 35 weeks. The base lung disease was hyaline membrane disease in 6, transient tachypnea of the newborn in 7, pneumonia in 2 and meconium aspiration syndrome in 2. Of the 17 newborns in the study 53% of newborns did not require chest tube drainage.

Discussion: The concern for invasive and painful procedures has increased in recent years in neonatal units. The drainage and retention of the drain are painful. Pneumothorax that few symptoms, can be treated and solved with oxygen supply of 100%, since there is monitoring of color, respiratory rate and heart rate. Our sample shows the effectiveness of this strategy and security in its broad implementation.

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