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Updated: Aug 15, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
[One-sided acquired pulmonary lobar emphysema -- successful treatment with selective intubation and one-sided
J Kaufmann1, A von Knoop, A Kribs
1Universitäts-Kinderklinik Köln, Abteilung Neonatologie und Pädiatrische Intensivmedizin. jost.kaufmann@uni-koeln.de
Abstract:
Mechanical ventilation of preterm and newborn infants is associated with the risk of inducing a pulmonary baro- or volutrauma which may lead to one-sided acquired pulmonary lobar emphysema (APLE). We report a case of a preterm infant with severe APLE compromising hemodynamics due to mediastinal-shift, which was successfully treated with selective one-sided intubation and high-frequency ventilation. We assume that a brief malposition of the endotracheal tube initiated the emphysema of the left pulmonary lobe. We deduce recommendations for avoiding APLE from literature and our experience.
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