[One-sided acquired pulmonary lobar emphysema -- successful treatment with selective intubation and one-sided high-frequency ventilation].
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.
Kaufmann
J
J
Universitäts-Kinderklinik Köln, Abteilung Neonatologie und Pädiatrische Intensivmedizin. jost.kaufmann@uni-koeln.de
von Knoop
A
A
Kribs
A
A
Roth
B
B
D001469:Barotrauma / Q000209:etiology / Q000628:therapy; D045422:Continuous Positive Airway Pressure; D005260:Female; D006611:High-Frequency Jet Ventilation; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007442:Intubation, Intratracheal; D011175:Positive-Pressure Respiration; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D012121:Respiration, Artificial / Q000009:adverse effects