Abstract
A 35-week-old male preterm baby (mass 2.5kg) with intrauterine growth retardation was delivered by caesarean section. The next day the baby developed tachypnoea with intercostal recession and expiratory grunting. An anterior–posterior chest X-ray showed a left tension pneumothorax (Figure 1). A 16 gauge intravenous cannula was inserted into the pleural space via the second intercostal space in the mid-clavicular line converting the tension pneumothorax to an open pneumothorax. The intrapleural cannula was connected to an adult Heimlich valve through a 3-way stopcock, to avoid the recurrence of the tension pneumothorax (Figure 2).
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