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Clinical Pediatrics, Vol. 30, No. 2, 85-87 (1991)
DOI: 10.1177/000992289103000204

Clinical Evaluation of a New Chest Tube Used in Neonates

August L. Jung, M.D.

Division of Neonatology, Department of Pediatrics, University of Utah Health Sciences Center, Salt Lake City, UT 84132

James Nelson, M.D.

Current addresses: James Nelson, M.D., Department of Radiology, University of Washington, Seattle, WA

M. Bruce Jenkins, M.D.

Methodist Hospital North, 3960 New Covington Pike, Memphis, TN

W. Alan Hodson, M.D.

Department of Pediatrics, University of Washington, Seattle, WA

We report preliminary experience with a newly designed chest tube (JCT), for evacuation of neonatal pneumothorax. The catheter has a unique pigtail configuration at the distal end, intended to simplify placement and minimize chest wall and lung trauma by reduced tube size and depth and insertion.

Thirty-eight JCTs were placed in neonates with pneumothoraces. Neonates' birth weights ranged from 400 to 3,595 grams. All 38 tubes immediately relieved clinical signs of pneumothoraces. Thirty-five (92%) tubes immediately fully evacuated the pneumothoraces as evidences on chest radiograph. Twelve pneumothoraces partially reoccurred at a mean of 24 hours following JCT placement. These tubes were either irrigated or replaced. This newly configured chest tube functions effectively in the treatment of neonatal pneumothorax.


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