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When the doctor examines your child they may find signs that point towards a pneumothorax, although this is often not the case if the pneumothorax is small. A chest X-ray is used to confirm the diagnosis in most cases.
If the pneumothorax is small and your child is not particularly breathless then they may be allowed to go home. In most of these cases the pneumothorax will heal on its own, although this can take several weeks. We will arrange to see you back for follow up at the hospital with a specialist team.
If the pneumothorax is big, or if your child is quite breathless, then we will need to insert a small draining tube (called a chest drain) between the ribs to allow the trapped air to escape. In older children this can be done using local anaesthetic, although in younger children sedation or general anaesthetic may be needed to allow us to put the chest drain in. The doctor will talk to you in more detail about this procedure before it is performed. Your child will then be admitted to hospital until the drain can be removed.
Return immediately to the Emergency Department if your child seems more breathless or unwell, or if you have any other concerns.
It is common for children to have discomfort in their chest with a pneumothorax. Pain killers, such as paracetamol every 4 to 6 hours, are advisable, and you can add ibuprofen every 6 to 8 hours if needed. Return to the Emergency Department if the pain gets significantly worse or if you are not able to control it.
Your child must not fly until they have been told it is safe to do so by the doctor. This is only advisable when the pneumothorax has completely resolved, which may take several weeks.
Your child must never go scuba diving unless they undergo a surgical procedure to prevent a pneumothorax happening again. The specialist can discuss this further with you in the outpatient clinic if you wish.
Yes, it is not uncommon for children to have another pneumothorax at some point. It is therefore important to seek urgent medical advice if your child develops similar symptoms in the future. If the condition does occur again, depending on the underlying cause, the specialists may consider performing an operation to prevent further episodes.
Please note: this is a generic information sheet relating to care at Sheffield Children’s NHS FT. These details may not reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If this information has been translated into another language from English, efforts have been made to maintain accuracy, but there may still be some translation errors. If you are unsure about any of the guidance in this resource or have specific questions about how it relates to your child, always ask your healthcare professional for further advice.
Resource number: ED35
Resource Type: Article
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