Chylothorax

[size=6]A term infant is born with a congenital chylothorax. The neonatal team places a chest tube and begins an octreotide infusion. The parents inquire about the safety of this medication. The most common clinical adverse event in infants receiving an octreotide infusion is: a Intraventricular hemorrhage b Necrotizing enterocolitis c Seizures d Hypotension requiring vasopressors e Symptomatic hypoglycemia[/size]

[size=20px]A one week-old, term infant develops tachypnea and hypoxemia with bilateral pleural effusions. Bilateral chest tubes are placed with drainage of approximately 30 ml/kg/day of fluid with 91% lymphocytes. The patient is treated with one week of bowel rest and total parenteral nutrition. This is followed by two weeks of octreotide infusion (up to 6 mcg/kg/hour). The chest tube output has not changed. The best next step is: A Increase octreotide infusion to 12 mcg/kg/hour B Instillation of bleomycin into the pleural spaces C Thoracic duct ligation and bleomycin instillation into the pleural spaces D Thoracic duct ligation and mechanical pleurodesis E…

see video link in second post

see video link in second post