Your question: Which of the following signs may be seen in a newborn with a pneumothorax?

Bluish skin color (cyanosis) Fast breathing. Flaring of the nostrils. Grunting with breathing.

What are four clinical manifestations of a pneumothorax?

The symptoms of pneumothorax can vary from mild to life-threatening and may include:

  • shortness of breath.
  • chest pain, which may be more severe on one side of the chest.
  • sharp pain when inhaling.
  • pressure in the chest that gets worse over time.
  • blue discoloration of the skin or lips.
  • increased heart rate.
  • rapid breathing.


What happens when a baby has a collapsed lung?

A collapsed lung (pneumothorax) is a buildup of air in the space between your child’s lung and the chest wall. As more air builds up in this space, the pressure against the lung makes the lung collapse. This causes shortness of breath and chest pain because your child’s lung cannot fully expand.

How common is pneumothorax in newborns?

A spontaneous neonatal pneumothorax presented shortly after birth in 1% to 2% of all infants, and 10% of infants show evidence of meconium aspiration [2]. The pneumothorax is symptomatic in approximately half of these [3]. 2-3% of all cases of neonatal ventilator care are due to pneumothorax.

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Can a baby be born with pneumothorax?

The most common cause of pneumothorax is from air delivered by a breathing machine (mechanical ventilator). A baby born with a lung disease may need to be on a breathing machine. Pneumothorax can also occur suddenly in children. But this is uncommon.

What is the most common cause of pneumothorax?

A pneumothorax can be caused by:

  • Chest injury. Any blunt or penetrating injury to your chest can cause lung collapse. …
  • Lung disease. Damaged lung tissue is more likely to collapse. …
  • Ruptured air blisters. Small air blisters (blebs) can develop on the top of the lungs. …
  • Mechanical ventilation.

What happens if pneumothorax is left untreated?

If there’s only a small amount of air trapped in the pleural space, as can be the case in a spontaneous pneumothorax, it can often heal on its own if there have been no further complications. More serious cases that involve larger volumes of air can become fatal if left untreated.

How does a baby get pneumothorax?

A pneumothorax occurs when some of the tiny air sacs (alveoli) in a baby’s lung become overinflated and burst. This causes air to leak into the space between the lung and chest wall (pleural space). The most common cause of pneumothorax is respiratory distress syndrome.

How is a collapsed lung treated in babies?

How is a pneumothorax treated in a child?

  1. Giving extra oxygen. Giving oxygen to your child may help heal the air leak more quickly.
  2. Removing the collected air. The healthcare provider puts a syringe or a thin tube (catheter) through the chest wall into the air space. The air may be removed with the syringe.
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How can I make my baby’s lungs stronger?


  1. Respiratory medications, such as bronchodilators, may help open up your baby’s airways to make breathing easier.
  2. Artificial surfactant can prevent the small air sacs in their lungs from collapsing.
  3. Diuretics can get rid of the excess fluid in their lungs.

Can CPAP cause pneumothorax in newborn?

Delivery room CPAP was associated with pneumothorax. The odds ratio was higher in infants receiving 21% oxygen than in those receiving oxygen supplementation.

How does a spontaneous pneumothorax occur?

Primary spontaneous pneumothorax is likely due to the formation of small sacs of air (blebs) in lung tissue that rupture, causing air to leak into the pleural space. Air in the pleural space creates pressure on the lung and can lead to its collapse.

How long does it take a pneumothorax to heal in a newborn?

It may take a few days for the tear to heal. The chest tube will stay in during this time. The baby may need breathing support (such as supplemental oxygen or a ventilator) until the air leak heals.

Who is at risk for spontaneous pneumothorax?

In most cases of spontaneous pneumothorax, the cause is unknown. Tall and thin adolescent males are typically at greatest risk, but females can also have this condition. Other risk factors include connective tissue disorders, smoking, and activities such as scuba diving, high altitudes and flying.

What is a diaphragmatic hernia in babies?

Diaphragmatic hernia is a birth defect where there is a hole in the diaphragm (the large muscle that separates the chest from the abdomen). Organs in the abdomen (such as intestines, stomach, and liver) can move through the hole in the diaphragm and upwards into a baby’s chest.

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Why is a tension pneumothorax life threatening?

A tension pneumothorax is a life-threatening condition that develops when air is trapped in the pleural cavity under positive pressure, displacing mediastinal structures and compromising cardiopulmonary function. Prompt recognition of this condition is life saving, both outside the hospital and in a modern ICU.

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