The Usage of Non-Invasive Mechanical Ventilation In A Preterm Infant With Pulmonary Interstitial Emphysema
Abstract
Pulmonary interstitial emphysema is defined as the accumulation of air in the perivascular adventitia as a result of rupture of small airways and over distendedalveoli. These is especially more frequent in premature infantswhom supported with mechanical ventilatory due to respiratory distress syndrome. Surgery can be applied to unstabile patients when conservative therapies are inconclusive. High-pressure ventilation should be avoided in these patients. Here in we want to report our experience on the use of nasal continuous positive air way pressure in a patient diagnosed with pulmonary interstitial emphysema which supported with invasive mechanical ventilation for 18 days.
References
- Bacakoğlu F. Mekanik Ventilasyona Bağlı Akciğer Hasarı. Toraks Dergisi, 2002;3:207-212
- Elemen L.,Baslo GG, Bafi EK. , ÖZ F., Erdoğan E. Yenidoğanda Ender Bir Solunum Sıkıntısı Nedeni: Konjenital Lober Amfizem ve Pulmoner inters- tisyel Amfizem Birlikteliği. Çocuk Dergisi 8:120-123, 2008.
- Matta R, Matta J, Hage P, Nassif Y, Mansour N, Diab N. Diffusepersis- tent interstitial pulmonary emphysema treated by lobectomy. Ann Thorac Surg. 2011;92:73-5.
- Bas AY, Okumus N, Demirel N, Zenciroglu A. Persistent pulmonary inters- titial emphysema in a preterminfant. Indian Pediatr. 2008;45:775-7.
- Berk DR, Varich LJ. Localized persistent pulmonary interstitial emphyse- ma in a preterminfant in the absence of mechanical ventilation. Pediatr Radiol. 2005;35:1243-5.
- Miller MJ, Fanarof AA, Martin RJ. Respiratory disorders inpreterm and terminfants. In: Fanaroff AA, Martin RJ, eds. Neonatal Perinatal Medicine Diseases of the Fetus and Infant. 9th ed. St. Louis: Mosby, 2011:1164- 88.
- Jassal MS, Benson JE, Mogayzel PJ Jr. Spontane ousresolution of diffu- sepersistent pulmonary interstitial emphysema. Pediatr Pulmonol. 2008 ;43:615-9.
- Rastogi S, Gupta A, Wung JT, Berdon WE. Treatment of giant pulmonary interstitial emphysema by ipsilateral bronchial occlusion with a Swan- Ganz catheter. Pediatr Radiol. 2007 ;37:1130-4
- Jefferies AL.Postnatal cortico steroid stotreat or prevent chronic lung disease in preterm infants. Pediatr Child Health. 2012;17:573-4.
Abstract
Pulmoner interstisyel amfizem alveoler ve küçük hava yollarının hasarlanması sonucu perivasküle radventisya içinde hava birikmesi olarak tanımlanır. Özellikle mekanik ventilatör desteği alan RDS tanılı prematüre bebeklerde daha sık görülmektedir. Tedavide konservatif yöntemlerin sonuçsuz kaldığı stabil olmayan hastalarda cerrahi uygulanabilmektedir. Bu hastaların ventilasyonunda yüksek basınç kullanımından kaçınılması gerekmektedir. Biz burada 18 gün konvansiyonel invaziv mekanik ventilasyon desteği alan pulmoner interstisyel amfizem tanılı bir hastanın takibinde nazal yolla sürekli pozitif hava yolu basıncı kullanımına dair deneyimimizi sunmak istedik.
Keywords
References
- Bacakoğlu F. Mekanik Ventilasyona Bağlı Akciğer Hasarı. Toraks Dergisi, 2002;3:207-212
- Elemen L.,Baslo GG, Bafi EK. , ÖZ F., Erdoğan E. Yenidoğanda Ender Bir Solunum Sıkıntısı Nedeni: Konjenital Lober Amfizem ve Pulmoner inters- tisyel Amfizem Birlikteliği. Çocuk Dergisi 8:120-123, 2008.
- Matta R, Matta J, Hage P, Nassif Y, Mansour N, Diab N. Diffusepersis- tent interstitial pulmonary emphysema treated by lobectomy. Ann Thorac Surg. 2011;92:73-5.
- Bas AY, Okumus N, Demirel N, Zenciroglu A. Persistent pulmonary inters- titial emphysema in a preterminfant. Indian Pediatr. 2008;45:775-7.
- Berk DR, Varich LJ. Localized persistent pulmonary interstitial emphyse- ma in a preterminfant in the absence of mechanical ventilation. Pediatr Radiol. 2005;35:1243-5.
- Miller MJ, Fanarof AA, Martin RJ. Respiratory disorders inpreterm and terminfants. In: Fanaroff AA, Martin RJ, eds. Neonatal Perinatal Medicine Diseases of the Fetus and Infant. 9th ed. St. Louis: Mosby, 2011:1164- 88.
- Jassal MS, Benson JE, Mogayzel PJ Jr. Spontane ousresolution of diffu- sepersistent pulmonary interstitial emphysema. Pediatr Pulmonol. 2008 ;43:615-9.
- Rastogi S, Gupta A, Wung JT, Berdon WE. Treatment of giant pulmonary interstitial emphysema by ipsilateral bronchial occlusion with a Swan- Ganz catheter. Pediatr Radiol. 2007 ;37:1130-4
- Jefferies AL.Postnatal cortico steroid stotreat or prevent chronic lung disease in preterm infants. Pediatr Child Health. 2012;17:573-4.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 1, 2015 |
| Published in Issue | Year 2015 Volume: 12 Issue: 2 |