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CASE REPORT
Year : 2009  |  Volume : 53  |  Issue : 4  |  Page : 482-485

Congenital Lobar Emphysema


1 Department of Cardiac Anaesthesiology, Meenakshi Mission Hospital and Research Center, Lakearea,Madurai TN 625107, India
2 Department of Cardiothoracic and Vascular Surgery, Meenakshi Mission Hospital and Research Center, Lakearea,Madurai TN 625107, India
3 Department of Pediatrics, Meenakshi Mission Hospital and Research Center, Lakearea,Madurai TN 625107, India

Correspondence Address:
Divya Chandran-Mahaldar
DM Cardio-thoracic and Vascular Anesthesia student, Sree Chitra Tirunal institute for Medical Science and Technology, Medical College PO, Thiruvananthapuram 695 011
India
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Source of Support: None, Conflict of Interest: None


PMID:  20640213

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Congenital lobar emphysema (CLE) characterized by over distension and air-trapping in the affected lobe is one of the causes of infantile respiratory distress requiring surgical resection of affected lobe. At induction, positive pressureventilation can expand the emphysematous lobe compressing the normal lung resulting in severe cardiovascular compromise. We report a case of 28 day old baby with CLE posted for emergency lobeetomy. Strategies to prevent hyperinflation and anaesthetic considerations of various techniques adopted for lung separation in infants have been reviewed.


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