Intrapleural instillation of Betadine
| Case No | Antenatal diagnosis | Diagnosis | Type of Betadine | Number and time of instillations | Volume (ml) of Betadine, child’s weight (g) | Duration of post-instillation chest tube occlusion (h) | Maximal analgesia (μg/kg/h) | Outcome (chest tube removal) | Adverse effect | Thyroid function |
|---|---|---|---|---|---|---|---|---|---|---|
| ND, Not done; L, left; R, right; CIC, congenital idiopathic chylothorax. | ||||||||||
| 1 | Yes | CIC | Scrub | R: 1 (day 65) | 10,<•> | 4 | Fentanyl (10) | Successful (16 days) | None | Normal before and 19 days after instillation |
| 2500 | ||||||||||
| 2 | Yes | CIC | Scrub | R: 1 (day 11)<•> | 5 per instillation,<•> | Right side: 2<•> | Fentanyl (10) | Successful (10 days) | Increase in contralateral pleural effusion after the first instillation of Betadine | Normal before and 16 days after instillation |
| L: 1 (day 13) | 2200 | Left side: 3 | ||||||||
| 3 | Yes | CIC | Dermique | R: 1 (day 59) | 3,<•> | 3 | Sufentanyl (0.8) | Successful (6 days) | Generalised oedema 24 hours after instillation (spontaneous resolution) | Normal before and 30 days after instillation |
| 3000 | ||||||||||
| 4 | Yes | Diffuse lymphangectasia | Scrub | L: 2 (days 22 and 26)<•> | 5 per instillation,<•> | 5 | Fentanyl (10) | Failure | Increase in contralateral pleural effusion after the first instillation of Betadine | ND |
| R: 1 (day 25) | 3100 | |||||||||