{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:33Z","timestamp":1756339533987,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T00:00:00Z","timestamp":1616112000000},"content-version":"unspecified","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,14]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Two neonates were presented at the Neonatology Department of the Institute of Child Nutrition and Health in Conakry, Guinea, with tension pneumothoraces as confirmed by chest X-ray. They were initially managed with needle thoracentesis but required continuous thoracic drainage. Due to scarce resources in the public health sector, no prepacked and dedicated pleural drainage systems were available as is the case in many developing countries. Therefore, we fabricated an improvised underwater seal drain out of a plastic infusion bottle and a Heimlich valve out of a vicryl fingerstall. Both devices have shown to be effective. Pneumothorax is a common and potentially life-threatening disease in neonates that often requires prompt treatment. This case series demonstrates how tension pneumothorax in two newborns was successfully managed by improvising different chest drainage systems. The depicted techniques shall serve as an instruction manual to healthcare professionals working in low-resource settings and facing similar challenges.<\/jats:p>","DOI":"10.1136\/bcr-2020-235801","type":"journal-article","created":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T13:10:55Z","timestamp":1616418655000},"page":"e235801","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical presentation and improvised management of neonatal pneumothorax in the setting of a low-resource country: Conakry, Guinea"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6953-4225","authenticated-orcid":false,"given":"Maria Bea","family":"Merscher Alves","sequence":"first","affiliation":[{"name":"Pediatric and Neonatal Intensive Care Unit, Children\u2019s Research Center, University Children\u2019s Hospital Zurich, University of Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N'fanly","family":"Cont\u00e9","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Institute of Nutrition and Child Health, Conakry, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahima","family":"Sory Diallo","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Institute of Nutrition and Child Health, Conakry, Guinea"},{"name":"Department of Pediatrics, Gamal Abdel Nasser University of Conakry, Conakry, Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Roth-Kleiner","sequence":"additional","affiliation":[{"name":"Clinic of Neonatology, Department Woman-Mother-Child, CHUV, Lausanne, VD, Switzerland"},{"name":"Association souffle2vie, Epalinges, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,22]]},"reference":[{"key":"2025082709421966000_14.3.e235801.1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3233\/NPM-1473813","article-title":"Pneumothorax in neonates: trends, predictors and outcomes","volume":"7","author":"Duong","year":"2014","journal-title":"J Neonatal Perinatal Med"},{"key":"2025082709421966000_14.3.e235801.2","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/j.1552-6909.1995.tb02465.x","article-title":"Pneumothorax in the neonate","volume":"24","author":"Wyatt","year":"1995","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"2025082709421966000_14.3.e235801.3","article-title":"Primary spontaneous bilateral pneumothorax in a neonate","volume":"5","author":"Arora","year":"2014","journal-title":"APSP J Case Rep"},{"key":"2025082709421966000_14.3.e235801.4","doi-asserted-by":"crossref","first-page":"397","DOI":"10.4103\/0970-9185.188820","article-title":"Pneumothorax in neonates: complication during endotracheal intubation, diagnosis, and management","volume":"32","author":"Parekh","year":"2016","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"2025082709421966000_14.3.e235801.5","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1542\/peds.56.3.355","article-title":"Diagnosis of pneumothorax or pneumomediastinum in the neonate by transillumination","volume":"56","author":"Kuhns","year":"1975","journal-title":"Pediatrics"},{"key":"2025082709421966000_14.3.e235801.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-010-2079-y"},{"key":"2025082709421966000_14.3.e235801.7","doi-asserted-by":"crossref","unstructured":"Bruschettini M , Romantsik O , Zappettini S , et al . 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