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Indian Journal of Pediatrics
Published in: Indian Journal of Pediatrics 6/2023

08-03-2023 | Pleurodesis | Correspondence

Chemical Pleurodesis with Povidone-Iodine in Congenital Chylothorax

Authors: Jiri Nahlovsky, Tomas Matejek

Published in: Indian Journal of Pediatrics | Issue 6/2023

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Excerpt

To the Editor: Congenital chylothorax is a serious neonatal condition with high mortality and difficult management. One line of treatment in persistent high-output chylothorax is povidone-iodine chemical pleurodesis (PICP) [1], but there is no consensus on the optimal chemical agent for the lack of solid evidence. Some reports of successful PICP have been published [2], and summarized by Resch et al. [3], who calculated an overall success rate of 58% and survival rate of 75%. However, due to the limited number of reported cases, the optimal dose and concentration of povidone-iodine and the duration of chest tube clamping have not been established. …
Literature
1.
Resch B, Sever Yildiz G, Reiterer F. Congenital chylothorax of the newborn: a systematic analysis of published cases between 1990 and 2018. Respiration. 2022;101:84–96.CrossRefPubMed
2.
Murki S, Faheemuddin M, Gaddam P. Congenital chylothorax–successful management with chemical pleurodesis. Indian J Pediatr. 2010;77:332–4.CrossRefPubMed
3.
Resch B, Freidl T, Reiterer F. Povidone-iodine pleurodesis for congenital chylothorax of the newborn. Arch Dis Child Fetal Neonatal Ed. 2016;101:F87–8.CrossRefPubMed
4.
Borcyk K, Kamil A, Hagerty K, et al. Successful management of extremely high-output refractory congenital chylothorax with chemical pleurodesis using 4% povidone-iodine and propranolol: a case report. Clin Case Rep. 2018;6:702–8.CrossRefPubMedPubMedCentral
Metadata
Title
Chemical Pleurodesis with Povidone-Iodine in Congenital Chylothorax
Authors
Jiri Nahlovsky
Tomas Matejek
Publication date
08-03-2023
Publisher
Springer India
Keyword
Pleurodesis
Published in
Indian Journal of Pediatrics / Issue 6/2023
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-023-04526-8

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