1. Dr. PremKumar Pitchaikani Dr. Ramona Dumitru Pneumothorax in Wales 2014 

2. Contents Pneumothorax Rate Pneumothorax Characteristics Risk Factors: – Birth Weight – Mode of Delivery – Gestations 

3. Demographics for 2014 Total admissions in the neonatal units in 2014: 3326 

4. Total admissions in the Neonatal Units in 2014: 3326 Total admission needing Intensive Care in 2014: 1130 (39%) 

5. Total number of admissions with Pneumothorax in 2014: 87 (2.6%) 

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7. Total admission to the intensive care units in 2014: 1130 Total number of Pneumothorax admissions in 2014: 87 (7.7%)

8. Pneumothorax - Sex Distribution 

9. Pneumothorax - Gestational age distribution 

10. Pneumothorax – Birth Weight distribution

11.  Pneumothorax – Mode of Delivery

12.  Pneumothorax – Time of Onset

13. Pneumothorax – type 

14.  Pneumothorax – Associated Condition

15. Pneumothorax - Respiratory Support 

16. Pneumothorax – Side 

17. Pneumothorax – Management

18. Length of Management 208 total days of treatment in 2014. Mean of 2.4 days with longer duration of 7 days. Conservative treatment - the resolution of the pneumothorax occurred within the first 24-36 hours after diagnosis. 

19. 8 deaths: 9% 2 were term 6 were preterm  Pneumothorax - Mortality

20. 2.6% of the total admissions to the neonatal units have been diagnosed with pneumothorax. 7.7% of babies admitted to ITU had pneumothorax Higher numbers appear in more busy units however smaller units had higher incidence in babies needing ITU care. Risk Factors: – Term babies – Birth weight of more than 2.5Kg – Male – Emergency LSCS – Non-invasive ventilation  Pneumothorax – Summary

21. Pneumothorax:  Secondary more common  More common on the right side with equal incidence on B/L and left side  Occurs predominately within first 24 hours  Majority needed chest drain insertion  Mean duration of chest drain is 2.4 days  Resolution seen within 36 hours when conservatively managed  Mortality rate is 9.2% more in preterm. 

22. Thank you