Health Condition 1: J939- Pneumothorax, unspecified
Conditions
Interventions
Intervention1: Chest tube insertion for neonates with symptomatic pneumothorax: After taking all aseptic precautions, skin shall be prepared and local anaesthesia shall be given. With the scalpel, 0.5
Sponsors
Dr supreet khurana
Eligibility
Inclusion criteria
Inclusion criteria: Neonate with more than equal to 28 weeks of gestation and birth weight more than equal to 1000 grams with symptomatic pneumothorax requiring either more than equal to 30 percent Fio2 on non-invasive support or requiring invasive ventilation for maintaining spo2 more than 90 percent.
Exclusion criteria
Exclusion criteria: Neonates with major congenital malformations Malformations of lung parenchyma (Congenital cystic adenomatoid malformation, Congenital lobar emphysema, Pulmonary hypoplasia, etc.) Grade 3 or higher IVH at randomization Pulmonary hypertension Recurrent pneumothorax Bleeding from more than 1 site Cases in which needle decompression alone suffices and no drain is placed will not be eligible for randomization
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time taken for the resolution of pneumothoraxTimepoint: 48 HOURS, 96 HOURS, 1 WEEK | — |
Secondary
| Measure | Time frame |
|---|---|
| Need of additional drainTimepoint: Within 48 hours of the primary procedure for drainage of pneumothorax;Complications (bleeding, obstruction, dislodgement)Timepoint: Till removal of thoracostomy tube;Duration of ventilation, oxygen dependence and hospital stayTimepoint: Till discharge from hospital;Bronchopulmonary dysplasia and Grade 3/4 intraventricular haemorrhageTimepoint: till discharge from hospital | — |
Countries
India
Contacts
Public ContactDr Supreet Khurana
Government Medical College and Hospital , Sector 32 Chandigarh
Outcome results
None listed