Pulmonary Pseudocysts in the Newborn Infant

PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 199-204
Author(s):  
Howard Harris
Keyword(s):  
Newborn Infant ◽  
Airway Pressure ◽  
Surgical Intervention ◽  
Hyaline Membrane Disease ◽  
Spontaneous Resolution ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Clinical Recovery ◽  
Hyaline Membrane

Five neonates who developed a pulmonary pseudocyst are reported. All infants had clinical hyaline membrane disease and were treated with continuous distending airway pressure. The pseudocysts developed between 39 hours and 7 days of age. In all but one pulmonary interstitial emphysema preceded or occurred together with the development of the pseudocyst. All babies went on to complete clinical recovery without surgical intervention. Radiologic documentation of the spontaneous resolution of the pseudocyst was obtained in three infants and occurred over three days, five days, and three months, respectively.

Pulmonary Interstitial Emphysema in a Newborn Infant Treated by Lobectomy

PEDIATRICS ◽  
1974 ◽  
Vol 54 (6) ◽  
pp. 808-811
Author(s):  
Barry D. Fletcher ◽  
Eugene W. Outerbridge ◽  
Sami Youssef ◽  
Robert P. Bolande
Keyword(s):  
Newborn Infant ◽  
Lymphatic Vessels ◽  
Hyaline Membrane Disease ◽  
Surgical Removal ◽  
Pathologic Examination ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Premature Newborn ◽  
Hyaline Membrane ◽  
Respiratory Embarrassment

A case of pulmonary interstitial emphysema in a premature newborn infant with hyaline membrane disease is reported. The interstitial emphysema at first involved both lungs, then became localized to the left upper lobe. There was an associated pneumopericardium which resolved spontaneously. The increasing amount of air in the interstitium of the left upper lobe resulted in severe respiratory embarrassment which necessitated surgical removal at 29 days of age. Pathologic examination of the resected lobe showed chronic pulmonary interstitial emphysema and dilated, thick-walled lymphatic vessels. See Image in the PDF file

Pulmonary interstitial emphysema in the premature baboon with hyaline membrane disease

1984 ◽  
Vol 12 (6) ◽  
pp. 512-516 ◽  
Author(s):  
NEEL B. ACKERMAN ◽  
JACQUELINE J. COALSON ◽  
THOMAS J. KUEHL ◽  
RONALD STODDARD ◽  
LARRY MINNICK ◽  
...  
Keyword(s):  
Hyaline Membrane Disease ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Hyaline Membrane

Unilateral Pulmonary Interstitial Emphysema: A Surgical Approach to Treatment

PEDIATRICS ◽  
1981 ◽  
Vol 68 (4) ◽  
pp. 510-514
Author(s):  
David H. Levine ◽  
David S. Trump ◽  
Glenn Waterkotte
Keyword(s):  
Mechanical Ventilation ◽  
Blood Flow ◽  
Surgical Approach ◽  
Pulmonary Blood Flow ◽  
Hyaline Membrane Disease ◽  
Illustrative Case ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Hyaline Membrane ◽  
Ventilator Therapy

Pulmonary interstitial emphysema is a condition that has become a significant problem chiefly as a complication of mechanical ventilation of the newborn. In its severe forms, it may compromise ventilation and restrict pulmonary blood flow to the degree that it becomes a significant cause of mortality. When its occurrence is unilateral, or predominantly so, it becomes more amenable to therapy. A number of different approaches have been described, especially for milder forms of the disease, but none has proved entirely satisfactory. A surgical approach has been used in four patients with severe unilateral pulmonary interstitial emphysema complicating ventilator therapy for hyaline membrane disease. The technique was successful in three of the four infants. An illustrative case is described, as well as the selective criteria for application of the technique.

ARTIFICIAL VENTILATION IN HYALINE MEMBRANE DISEASE: THE USE OF POSITIVE END-EXPIRATORY PRESSURE AND CONTINUOUS POSITIVE AIRWAY PRESSURE

PEDIATRICS ◽  
1973 ◽  
Vol 51 (4) ◽  
pp. 629-640
Author(s):  
Niloufer Cumarasamy ◽  
Rosmarie Nüssli ◽  
Dieter Vischer ◽  
Peter H. Dangel ◽  
Gabriel V. Duc
Keyword(s):  
Mechanical Ventilation ◽  
Survival Rate ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Artificial Ventilation ◽  
Controlled Trial ◽  
Hyaline Membrane Disease ◽  
Positive End Expiratory Pressure ◽  
Hyaline Membrane

During the years 1969, 1970, and 1971, 120 infants with hyaline membrane disease were studied, of whom 71 were treated with artificial ventilation. Among other changes in 1971, positive end-expiratory pressure was applied during mechanical ventilation and continuous positive airway pressure maintained during the weaning period. The survival rate of the ventilated babies increased from 23% in the preceding two years to 70% in 1971. As this study is not a controlled trial, the observed increase in survival cannot be ascribed to the application of increased airway pressure alone. The data presented, though necessarily inconclusive, may be useful for continuing comparisons with other pediatric centers.

Thoracic Transillumination: Aid in the Diagnosis and Treatment of Pneumopericardium

PEDIATRICS ◽  
1979 ◽  
Vol 64 (6) ◽  
pp. 958-960 ◽  
Author(s):  
Eresvita E. Cabatu ◽  
Edwin G. Brown
Keyword(s):  
Mechanical Ventilation ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Hyaline Membrane Disease ◽  
Pericardial Tamponade ◽  
Review Of The Literature ◽  
Air Leak ◽  
Hyaline Membrane ◽  
Life Threatening

A frequent complication of continuous positive airway pressure and mechanical ventilation used to treat neonates who have hyaline membrane disease and other forms of respiratory distress is an air leak from alveolar rupture. Pneumothorax and pneumomediastinum are common. Pneumopericardium does not occur often, but it can be life-threatening if it produces acute cardiac tamponade. In a review of the literature, Brans and associates1 found that pneumopericardium in neonates was treated by pericardiocentesis in one half of the published cases; 79% of them survived or they ultimately died of complications unrelated to pericardial tamponade. However, only 32% of the infants treated conservatively survived.

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