Percutaneous evacuation of diffuse pulmonary interstitial emphysema by lung puncture in a baby with extremely low birth weight: a case report
| Autor: | Masahiro Watanabe, Masatoshi Kaneko, Mitsuaki Hosoya, Maki Sato, Nobuo Momoi, Hayato Go, Takashi Imamura |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Percutaneous medicine.medical_treatment lcsh:Medicine Case Report Lung puncture Medicine Mechanical ventilation Medicine(all) Lung business.industry Pulmonary interstitial emphysema Baby with extremely low birth weight lcsh:R Treatment options General Medicine respiratory system medicine.disease Surgery respiratory tract diseases Catheter Low birth weight medicine.anatomical_structure medicine.symptom business Complication |
| Zdroj: | Journal of Medical Case Reports, Vol 6, Iss 1, p 325 (2012) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| Popis: | Introduction Pulmonary interstitial emphysema is a serious complication of mechanical ventilation and can become life-threatening if progression occurs. Therapeutic lung puncture is a treatment option for severe pulmonary interstitial emphysema but has a limited use in babies with extremely low birth weight. We present a case of pulmonary interstitial emphysema in a Japanese baby (1-day-old) boy with extremely low birth weight. The emphysema was successfully decompressed by therapeutic lung puncture performed with a trocar catheter. Case presentation The baby was born with a weight of 420g, which, to the best of our knowledge, is the lowest reported birth weight among babies with pulmonary interstitial emphysema. A chest X-ray on postnatal day 2 revealed pulmonary interstitial emphysema, which gradually progressed to diffuse pseudocystic changes. His condition became life-threatening despite the use of high-frequency oscillatory ventilation and lateral decubitus positioning. We evacuated the pulmonary interstitial emphysema by lung puncture with a trocar catheter to avoid respiratory and cardiovascular collapse. This resulted in adequate evacuation of the emphysema and a dramatic improvement in his clinical condition. Conclusions Therapeutic lung puncture performed with a trocar catheter is beneficial in babies with extremely low birth weight and diffuse pulmonary interstitial emphysema. This treatment option may be broadly applicable, especially in an emergency situation. |
| Databáze: | OpenAIRE |
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