Successful treatment of severe neonatal lobar emphysema by high‐frequency oscillatory ventilation

Abstract

We successfully used high-frequency oscillatory ventilation (HFOV) for treating severe acquired lobar emphysema in two premature newborn infants (birth weights, 1,450 and 1,300 g). After successful weaning from mechanical ventilation for hyaline membrane disease, they needed additional ventilatory support because they developed severe lobar emphysema compressing the residual lung. In both patients, radiographic signs of lobar emphysema disappeared completely after 3 days of HFOV. Diagnosis and follow-up were confirmed by high-resolution computed tomography. We conclude that HFOV may be a useful noninvasive method for treating severe lobar emphysema.

Pneumothorax and pulmonary intersticial emphysema: treatment with selective bronchial occlusion and high frequency ventilation

“…A ventilação de alta freqüência unilateral tem sido aplicada com sucesso no tratamento de enfisema pulmonar intersticial, cistos pulmonares adquiridos e enfisema lobar congênito grave 1,2,10 .…”

Successful Perioperative Management of Congenital Cystic Adenomatoid Malformation of the Lung by High Frequency Oscillatory Ventilation - Report of Two Cases

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Persistent acquired lobar overinflation complicating bronchopulmonary dysplasia

“…Decompression of the overin¯ated lobe has been attempted by using steroids [12], high-frequency oscillatory ventilation [8,14] independent lung ventilation [9] and physiotherapy. Lobectomy has been performed when other treatments have failed [1].…”