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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentation

Chest dynamics asymmetry facilitates earlier detection of pneumothorax

Journal of Perinatology volume 36, pages 157–159 (2016)Cite this article

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Abstract

Pneumothorax is usually diagnosed when signs of life-threatening tension pneumothorax develop. The case report describes novel data derived from miniature superficial sensors that continuously monitored the amplitude and symmetry of the chest wall tidal displacement (TDi) in a premature infant that suffered from pneumothorax. Off-line analysis of the TDi revealed slowly progressing asymmetric ventilation that could be detected 38 min before the diagnosis was made. The TDi provides novel and valuable information that can assist in early detection and decision making.

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References

  1. McIntosh N, Becher JC, Cunningham S, Stenson B, Laing IA, Lyon AJ et al. Clinical diagnosis of pneumothorax is late: use of trend data and decision support might allow preclinical detection. Pediatr Res 2000; 48: 408–415.

    Article  CAS  Google Scholar 

  2. Bhatia R, Davis PG, Doyle LW, Wong C, Morley CJ . Identification of pneumothorax in very preterm infants. J Pediatr 2011; 159: 115–120.

    Article  Google Scholar 

  3. Waisman D, Faingersh A, Levy C, Colman-Klotzman I, Rotschild A, Lichtenstein O et al. Transient decrease in PaCO2 and asymmetric chest wall dynamics in early progressing pneumothorax. Intensive Care Med 2013; 39: 137–145.

    Article  Google Scholar 

  4. Waisman D, Levy C, Faingersh A, Klotzman FI, Konyukhov E, Kessel I et al. A new method for continuous monitoring of the chest wall movement to characterize hypoxemic episodes during HFOV. Intensive Care Med 2011; 37: 1174–1181.

    Article  Google Scholar 

  5. Waisman D, Faingersh A, Levy C, Konyukhov E, Klotzman FI, Rotschild A et al. Early detection of deteriorating ventilation by monitoring bilateral chest wall dynamics in the rabbit. Intensive Care Med 2012; 38: 120–127.

    Article  Google Scholar 

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Acknowledgements

Chest wall dynamics were measured by the equipment provided by Pneumedicare Ltd.

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Author notes

  1. D Waisman and A Landesberg: These authors contributed equally to this work.

Authors and Affiliations

  1. Department of Neonatology, Carmel Medical Center, Technion—Israel Institute of Technology, Haifa, Israel

    D Waisman, A Gover, I Kessel & A Rotschild

  2. Rappapport Faculty of Medicine, Technion—Israel Institute of Technology, Haifa, Israel

    D Waisman, A Gover, I Kessel & A Rotschild

  3. Faculty of Biomedical Engineering, Technion—Israel Institute of Technology, Haifa, Israel

    A Landesberg & A Faingersh

  4. Pneumedicare Ltd., Yokneam, Israel

    S Kohn

  5. Department of Neonatology, Mayer Children's Hospital, Haifa, Israel

    I C Klotzman

Authors
  1. D Waisman
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  2. A Landesberg
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  3. S Kohn
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  4. A Faingersh
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  5. I C Klotzman
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  6. A Gover
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  7. I Kessel
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  8. A Rotschild
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Corresponding author

Correspondence to D Waisman.

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Competing interests

DW, SK, AF, ICK and AL are involved in the development of a respiratory function monitor within a collaborative effort between the Technion—Israel Institute of Technology, Clalit Health Services and Pneumedicare Ltd. The remaining authors declare no conflict of interest.

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Cite this article

Waisman, D., Landesberg, A., Kohn, S. et al. Chest dynamics asymmetry facilitates earlier detection of pneumothorax. J Perinatol 36, 157–159 (2016). https://doi.org/10.1038/jp.2015.172

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  • DOI: https://doi.org/10.1038/jp.2015.172

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