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Ventilator-induced pulmonary pseudocysts in preterm neonates.
D W Williams1, D F Merten, E L Effmann
1Department of Radiology, North Carolina Memorial Hospital, University of North Carolina, Chapel Hill 27514.
AJR. American Journal of Roentgenology
|April 1, 1988
Summary
Pulmonary pseudocysts in preterm neonates on mechanical ventilation often occur on the right side. These cysts commonly resolve, but are associated with other serious lung conditions.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Radiology
Background:
- Pulmonary pseudocysts are air-filled spaces in the lungs.
- Preterm neonates on mechanical ventilation are susceptible to lung complications.
- Understanding the characteristics and associations of pulmonary pseudocysts is crucial for management.
Purpose of the Study:
- To describe the occurrence, location, duration, and associated conditions of pulmonary pseudocysts in preterm neonates.
- To investigate the typical presentation and resolution patterns of these pseudocysts.
Main Methods:
- Retrospective review of chest imaging in preterm neonates.
- Identification and characterization of pulmonary pseudocysts.
- Correlation with clinical data and other pulmonary complications.
Main Results:
- Twenty-three pulmonary pseudocysts were identified in 20 preterm neonates.
- Most pseudocysts were right parahilar, single or multiple, and persisted for a median of 7 days.
- Commonly associated conditions included pulmonary interstitial emphysema, pneumothorax, bronchopulmonary dysplasia, and pneumomediastinum.
Conclusions:
- Pulmonary pseudocysts in ventilated preterm neonates are frequently right-sided and associated with significant lung pathology.
- While often resolving, their presence warrants close monitoring due to links with other respiratory issues.