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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Congenital lobar emphysema.
Divya Chandran-Mahaldar1, Subbaih Kumar, Kathamuthu Balamurugan
1Department of Cardiac Anaesthesiology, Meenakshi Mission Hospital and Research Center, Lakearea, Madurai TN 625107.
Congenital lobar emphysema (CLE) causes infantile respiratory distress and can lead to cardiovascular compromise during ventilation. This case highlights anesthetic strategies for emergency lobectomy in infants with CLE.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Pulmonology
Background:
- Congenital lobar emphysema (CLE) is a rare condition causing lung overinflation in infants.
- CLE can lead to severe respiratory distress and hemodynamic instability.
- Surgical resection is the definitive treatment for CLE.
Purpose of the Study:
- To present a case of a 28-day-old infant with CLE undergoing emergency lobectomy.
- To review anesthetic strategies for lung separation in infants with CLE.
- To discuss methods for preventing hyperinflation during positive pressure ventilation.
Main Methods:
- Case report of an infant with CLE.
- Review of anesthetic techniques for lung separation in pediatric surgery.
- Discussion of intraoperative management to prevent lung hyperinflation.
Main Results:
- Successful emergency lobectomy was performed.
- Anesthetic management focused on preventing positive pressure ventilation-induced hyperinflation.
- The review identified key considerations for lung separation in this challenging scenario.
Conclusions:
- Anesthetic management is critical in infants with CLE undergoing lobectomy.
- Strategies to avoid hyperinflation are essential to prevent cardiovascular compromise.
- Careful planning and technique selection are vital for successful surgical outcomes in CLE.
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