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Pediatric Cardiology

Pleural effusion in congenital diaphragmatic hernia warrants chest tube drainage

Published in Health and Medicine Week, September 4th, 2006

The increased mortality in pleural effusion in congenital diaphragmatic hernia (CDH) patients causing cardiopulmonary distress warrants chest tube drainage before instability occurs.

According to a study recently published in Pediatric Surgery International,"In congenital diaphragmatic hernia (CDH), chest tube insertion at repair could determine rapid overexpansion of hypoplastic lungs, increasing the risk of pneumothorax."

"Therefore," wrote Bambino Gesu Pediatric Hospital researchers G. Casaccia and colleagues, "in our institution no drainage tube at CDH repair was inserted after 1997. Afterwards several patients needed chest drainage for...

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