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Congenital Lobar Emphysema

SUMMARY: Congenital lobar emphysema (CLE) characterized by over distension and air-trapping in the affected lobe is one of the causes of infantile respiratory distress requiring surgical resection of affected lobe. At induction, positive pressure ventilation can expand the emphysematous lobe compres...

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Detalles Bibliográficos
Autores principales: Chandran-Mahaldar, Divya, Kumar, Subbaih, Balamurugan, Kathamuthu, Raghuram, Arani R, Krishnan, Rammaih, Kannan
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2894487/
https://www.ncbi.nlm.nih.gov/pubmed/20640213
Descripción
Sumario:SUMMARY: Congenital lobar emphysema (CLE) characterized by over distension and air-trapping in the affected lobe is one of the causes of infantile respiratory distress requiring surgical resection of affected lobe. At induction, positive pressure ventilation can expand the emphysematous lobe compressing the normal lung resulting in severe cardiovascular compromise. We report a case of 28 day old baby with CLE posted for emergency lobectomy. Strategies to prevent hyperinflation and anaesthetic considerations of various techniques adopted for lung separation in infants have been reviewed.