scholarly journals Refractory Pulmonary Interstitial Emphysema in Extreme Premature Newborn

2021 ◽  
Vol 11 (02) ◽  
pp. e61-e64
Author(s):  
Mahmoud Ali ◽  
Lea Mallett ◽  
Greg Miller
Keyword(s):  
High Frequency ◽  
Positive Pressure Ventilation ◽  
Invasive Mechanical Ventilation ◽  
Lung Ventilation ◽  
Extremely Low Birth Weight ◽  
Positive Pressure ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Spontaneously Breathing ◽  
High Frequency Oscillatory

AbstractPulmonary interstitial emphysema (PIE) occurs when air leaks into the pulmonary interstitium due to overdistension of distal airways, it occurs mainly in neonates with respiratory distress syndrome who need positive pressure ventilation but has also been reported in spontaneously breathing infants. Herein, we report on an extremely low birth weight infant with severe persistent PIE, while on invasive mechanical ventilation (high-frequency oscillatory ventilation, high-frequency jet ventilation, and neurally adjust ventilator assist) managed successfully with 2 weeks of selective right lung ventilation after failure of more conservative measures, including shorter periods of right mainstem intubation, before the prolonged trial that was successful.

High-Frequency Ventilation and Tracheal Injuries

PEDIATRICS ◽  
1987 ◽  
Vol 79 (1) ◽  
pp. 162-164
Author(s):  
THOMAS E. WISWELL ◽  
REESE H. CLARK ◽  
J. DEVN CORNISH
Keyword(s):  
High Frequency ◽  
Positive Pressure Ventilation ◽  
Positive Pressure ◽  
High Frequency Ventilation ◽  
Jet Ventilation ◽  
High Frequency Jet Ventilation ◽  
Flow Interruption ◽  
Generic Term ◽  
Frequency Ventilation ◽  
High Frequency Oscillatory

To the Editor.— We read with interest the study of Mammel et al.1 However, we wish to address several aspects of the report regarding the design of the investigation, their interpretation of the results and of other reports, and the conclusions they make. First, we take exception to the title itself. Unfortunately, many pediatricians and neonatologists do not make any distinction between the various types of nonconventional, high-frequency ventilators. High-frequency ventilation is a generic term encompassing several very different modalities of ventilation including high-frequency positive pressure ventilation, high-frequency flow interruption, high-frequency jet ventilation, and high-frequency oscillatory ventilation.

scholarly journals Successful Outcome of Severe Unilateral Pulmonary Interstitial Emphysema after Bi-Lobectomy in a Very Low Birthweight Infant

1996 ◽  
Vol 89 (3) ◽  
pp. 167P-168P
Author(s):  
J S Ahluwalia ◽  
J M Rennie ◽  
F C Wells
Keyword(s):  
Low Birthweight ◽  
Positive Pressure Ventilation ◽  
Successful Outcome ◽  
Normal Lung ◽  
Positive Pressure ◽  
Very Low Birthweight ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Very Low Birthweight Infants ◽  
Very Low Birthweight Infant

Extubation of ventilated infants with severe unilateral pulmonary interstitial emphysema is difficult because the function of normal lung tissue is impaired. Continued positive pressure ventilation worsens hyperinflation on the side with interstitial emphysema, leading to cardiorespiratory compromise. Resection of affected single lobes is well described, but there are no reported cases of multiple lobectomies in very low birthweight infants. We describe a case where resection of both right upper and middle lobes was successful, allowing extubation within a few days of surgery. Computed tomography (CT) of the chest was helpful in making the decision to treat this infant by surgery.

In Reply: High-frequency Oscillatory Ventilation as Rescue Therapy in Sick Preterm Neonates (≤1250 g): Outcome and Its Prediction

PEDIATRICS ◽  
1996 ◽  
Vol 97 (3) ◽  
pp. 437-438
Author(s):  
MICHAEL S. PARANKA ◽  
REESE H. CLARK
Keyword(s):  
Premature Infants ◽  
High Frequency ◽  
Rescue Therapy ◽  
High Frequency Oscillatory Ventilation ◽  
Preterm Neonates ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Oscillatory Ventilation ◽  
High Frequency Oscillatory

We appreciate the observation reported by Cheung et al, and agree with their findings. We reported similar results on survival in premature infants with pulmonary interstitial emphysema in 1986. These data show that high-frequency oscillatory ventilation (HFOV) response delineates two groups of infants with different outcomes. It is important to note that most neonates treated with HFOV have improved ventilation, but that a smaller proportion of neonates have improved oxygenation. In our experience improved oxygenation is a better predictor of outcome than improved ventilation.

Pulmonary interstitial emphysema treated by high-frequency oscillatory ventilation

1986 ◽  
Vol 14 (11) ◽  
pp. 926-930 ◽  
Author(s):  
REESE H. CLARK ◽  
DALE R. GERSTMANN ◽  
DONALD M. NULL ◽  
BRADLEY A. YODER ◽  
J. DEVN CORNISH ◽  
...  
Keyword(s):  
High Frequency ◽  
High Frequency Oscillatory Ventilation ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Oscillatory Ventilation ◽  
High Frequency Oscillatory
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