HYBRID EVENT: You can participate in person at ANA Crowne Plaza Hotel Narita, Japan or Virtually from your home or work.

Hetal Singh

 

Hetal Singh

OMA hospital, Mother and Child Care,
India

Abstract Title:Congenital Pneumothorax - When should we not intervene?

Biography: Dr Hetal Singh has completed her MBBS from Terna Medical College in Mumbai and then post graduate, DNB pediatric form Masina Hospital in MUMBAI. She has presented in various National level conference and has more than 5 National paper and 3 international papers in her name. She is currently Joint director of OMA Hospital, Mother and Child Care.

Research Interest: Case series of congenital Pneumothorax which were managed at merit of case depending upon the clinical condition. Case 1 :- New born primi, 37 wk., full term, born of NVD, no instrumentation no vacuum . BT wt 2.8kg, developed distress immediately after birth in form of Tachypnea and distress. Thought of TTN Gradually distress increased but saturation were maintained on room air, chest x-ray showed left sided pneumothorax. Baby maintained spo2 well on room air. Planned for intervention but deferred. Baby closed monitored, gradually distress reduced. Repeat chest x-ray after 18hrs showed significant improvement. Distress settled, x-ray on 3rd day showed complete resolution of pneumothorax. Case 2 :- Primi, FT, Female, NVD, BCIAB, thick meconium stained liquor. No instrumentation or Bag and mask done in delivery. baby developed distress started on oxygen support by NP. Shifted to NICU, chest x-ray done showed right side pneumothorax. Surgeon reference given, continued on conservative management. Baby x-ray after 12 hrs showed regression of pneumothorax, baby weaned off from oxygen support after 48 hrs, maintained spo2 well on room air with no distress. Case 3:- Mother developed varicella 2-3 days before delivery. G2P1L1 ft delivered male child 3kg though NVD. Thick meconium stained liquor, Respiratory distress at birth, started on oxygen support, shifted to NICU, chest Xray done showed Spontaneous RT sided Pneumothorax with effusion. SPO2 maintained distress increased, baby shifted on HHFNC. ICD was put i/v/o distress. Gush of serosangious fluid came. Baby kept on ICD for couple of days, pneumothorax regressed. Baby given IvIg (400mg/day for 5 days), baby clinically improved. Conclusion :- Most cases of spontaneous pneumothorax can be managed conservatively with supplemental oxygen and close monitoring, only few require surgical intervention.