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Ex utero intrapartum treatment (EXIT) procedure for the second twin with neck mass in a twin pregnancy with vertex/breech presentation.
BMJ Case Rep
November 2024
Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Article Synopsis
- - The case involves a twin pregnancy with one twin (twin B) diagnosed via antenatal MRI with a large cystic neck mass that negatively affects the airway and the upper limb.
- - Due to the risk of airway obstruction for twin B, a multidisciplinary team decided to perform an EXIT (ex utero intrapartum treatment) procedure.
- - The EXIT procedure was successfully executed by first delivering twin A, then using an external cephalic version to assist in the delivery of twin B’s head, followed by intubation while the mother maintained circulation.
Implications of Using a Clinical Practice Guideline on Outcomes in Pediatric Empyema.
J Surg Res
November 2024
Section of Pediatric Surgery, Department of Surgery, University of Michigan, Michigan Medicine, C.S. Mott Children's Hospital, Ann Arbor, Michigan.
Introduction: Various randomized control trials in the pediatric population have shown no therapeutic advantage of video-assisted thoracoscopic surgery over fibrinolytic therapy (tissue plasminogen activator [tPA]) for empyema management. However, literature detailing changes in practice management and protocol implementation is limited. In 2018, we instituted clinical practice guidelines (CPGs) for empyema management utilizing tissue plasminogen activatorinstillation via a small bore chest tube as initial therapy.
View Article and Find Full Text PDFEmpyema thoracic in a neonate co-infected with SARS-CoV-2 and staphylococcus arouse successfully treated with fibrinolysis: a brief report.
BMC Pediatr
November 2023
Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran.
Background: Empyema as a rare cause of respiratory distress in neonatal period has not yet been reported after Corona virus disease 2019 (COVID-19) and even rarely in the context of bacterial infections is age group.
Case Presentation: The first neonate of quadruplets, resulting from Cesarean-Section of a 30-year-old mother without a history of previous illness, born at 34 weeks of gestation with a birth weight of 1600 gram. All four newborns were hospitalized; while the first one underwent nasal continuous positive airway pressure (N-CPAP) with a positive end-expiratory pressure of 6 and fractional inspired oxygen of 0.
Ultrasound-guided diagnostic pericardiocentesis in preterm infants: a case report.
J Matern Fetal Neonatal Med
December 2023
U.O.C. di Neonatologia, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Pericardial effusion (PE) in pediatric population can be asymptomatic or a life-threatening event. Reports on neonates or preterm infants are scarce and generally related to pericardiocentesis of large amounts of PE in emergency situations.We describe a diagnostic pericardiocentesis in a preterm infant with small and loculated pericardial effusion and suspected cardiac mass.
View Article and Find Full Text PDFA Rare Case of Type B Neonatal Pyruvate Carboxylase Enzyme Deficiency Presenting With Refractory Lactic Acidosis in the Early Neonatal Period.
Cureus
October 2022
Pediatrics, Neonatal-Perinatal Medicine, Children's Hospital of Michigan/Central Michigan University College of Medicine, Detroit, USA.
Article Synopsis
- Pyruvate carboxylase (PC) deficiency is a rare genetic disorder that affects how the body metabolizes certain substances, inherited in an autosomal recessive manner.
- The disorder leads to problems in energy production and important biochemical processes, resulting in various serious health issues, including severe lactic acidosis in affected infants.
- In the case presented, a newborn with PC deficiency had alarming clinical symptoms identified through various tests, confirming the diagnosis, but ultimately passed away by day 22 after birth, despite being provided with palliative care.
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