Flexible bronchoscopy in the management of congenital lobar emphysema in the neonate.
This paper describes the case of a 3 kg neonate who had congenital lobar emphysema of the left upper lobe (LUL). He was in severe respiratory distress with a fraction of inspired oxygen of 0.8. Chest x-ray showed hyperlucent expanded left hemithorax and marked mediastinal shift. Following flexible bronchoscopy and introduction of ultrathin bronchoscope into the LUL bronchus, symptoms and chest x-ray improved markedly. Flexible bronchoscopy resulted in emergency relief of his initial respiratory distress, and left upper lobe lobectomy was performed electively three days later.
Children's Health Centre, University of Alberta Hospital, Edmonton, Canada. ephillip@gpu.srv.ualberta.ca
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Phillipos
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Libsekal
D001999:Bronchoscopy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011656:Pulmonary Emphysema / Q000151:congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D011859:Radiography