Cargando…

Early Pulmonary Interstitial Emphysema in Preterm Neonates—Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins

Early pulmonary interstitial emphysema in extreme preterm neonates is closely linked with respiratory distress syndrome and exposure to mechanical ventilation. In severe cases, maintaining adequate gas exchange aiming to avoid further lung damage and other neonatal morbidities associated with system...

Descripción completa

Detalles Bibliográficos
Autores principales: Gronbach, Judith, Ehrhardt, Harald, Zimmer, Klaus-Peter, Waitz, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951786/
https://www.ncbi.nlm.nih.gov/pubmed/29765788
http://dx.doi.org/10.1055/s-0038-1648253
_version_ 1783323068777627648
author Gronbach, Judith
Ehrhardt, Harald
Zimmer, Klaus-Peter
Waitz, Markus
author_facet Gronbach, Judith
Ehrhardt, Harald
Zimmer, Klaus-Peter
Waitz, Markus
author_sort Gronbach, Judith
collection PubMed
description Early pulmonary interstitial emphysema in extreme preterm neonates is closely linked with respiratory distress syndrome and exposure to mechanical ventilation. In severe cases, maintaining adequate gas exchange aiming to avoid further lung damage and other neonatal morbidities associated with systemic/pulmonary hypoperfusion, prolonged hypoxia, and respiratory acidosis can be challenging and requires in-depth knowledge into the pathophysiology of the disease. Herein, we report on very low birth weight twins who developed early pulmonary interstitial emphysema during noninvasive respiratory support. We further review the current evidence from the literature, specifically addressing on possible preventive measures and the respiratory management options of this acute pulmonary disease in high-risk neonates.
format Online
Article
Text
id pubmed-5951786
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Thieme Medical Publishers
record_format MEDLINE/PubMed
spelling pubmed-59517862018-05-14 Early Pulmonary Interstitial Emphysema in Preterm Neonates—Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins Gronbach, Judith Ehrhardt, Harald Zimmer, Klaus-Peter Waitz, Markus AJP Rep Early pulmonary interstitial emphysema in extreme preterm neonates is closely linked with respiratory distress syndrome and exposure to mechanical ventilation. In severe cases, maintaining adequate gas exchange aiming to avoid further lung damage and other neonatal morbidities associated with systemic/pulmonary hypoperfusion, prolonged hypoxia, and respiratory acidosis can be challenging and requires in-depth knowledge into the pathophysiology of the disease. Herein, we report on very low birth weight twins who developed early pulmonary interstitial emphysema during noninvasive respiratory support. We further review the current evidence from the literature, specifically addressing on possible preventive measures and the respiratory management options of this acute pulmonary disease in high-risk neonates. Thieme Medical Publishers 2018-04 2018-05-14 /pmc/articles/PMC5951786/ /pubmed/29765788 http://dx.doi.org/10.1055/s-0038-1648253 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Gronbach, Judith
Ehrhardt, Harald
Zimmer, Klaus-Peter
Waitz, Markus
Early Pulmonary Interstitial Emphysema in Preterm Neonates—Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins
title Early Pulmonary Interstitial Emphysema in Preterm Neonates—Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins
title_full Early Pulmonary Interstitial Emphysema in Preterm Neonates—Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins
title_fullStr Early Pulmonary Interstitial Emphysema in Preterm Neonates—Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins
title_full_unstemmed Early Pulmonary Interstitial Emphysema in Preterm Neonates—Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins
title_short Early Pulmonary Interstitial Emphysema in Preterm Neonates—Respiratory Management and Case Report in Nonventilated Very Low Birth Weight Twins
title_sort early pulmonary interstitial emphysema in preterm neonates—respiratory management and case report in nonventilated very low birth weight twins
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951786/
https://www.ncbi.nlm.nih.gov/pubmed/29765788
http://dx.doi.org/10.1055/s-0038-1648253
work_keys_str_mv AT gronbachjudith earlypulmonaryinterstitialemphysemainpretermneonatesrespiratorymanagementandcasereportinnonventilatedverylowbirthweighttwins
AT ehrhardtharald earlypulmonaryinterstitialemphysemainpretermneonatesrespiratorymanagementandcasereportinnonventilatedverylowbirthweighttwins
AT zimmerklauspeter earlypulmonaryinterstitialemphysemainpretermneonatesrespiratorymanagementandcasereportinnonventilatedverylowbirthweighttwins
AT waitzmarkus earlypulmonaryinterstitialemphysemainpretermneonatesrespiratorymanagementandcasereportinnonventilatedverylowbirthweighttwins