PEDIATRICS Vol. 74 No. 3 September 1984, pp. 354-357
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New Approach to Management of Unilateral Tension Pulmonary Interstitial Emphysema in Premature Infants

Hanes M. Swingle MD1, Larry D. Eggert MD1, and Richard L. Bucciarelli MD1

1 From the Divisions of Neonatology, Departments of Pediatrics, University of Florida, Gainesville and University of Utah, Salt Lake City

Conservative management of unilateral tension pulmonary interstitial emphysema is reported. Treatment consisted of (1) positioning the infant on his or her side with the emphysematous lung dependent, (2) minimal chest physiotherapy and endotracheal suctioning, and (3) appropriate ventilator management. Conservative therapy is effective and appears to be safer than selective bronchial intubation or surgical therapy.

Key Words: tension • lung disease • pulmonary interstitial emphysema • infants

Accepted on November 17, 1983




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D. B. DeWitte, D. G. Batton, L. Prudent, and M. J. Maisels
Endotracheal Tube Modification for Therapy of Right-sided Pulmonary Interstitial Emphysema
Clinical Pediatrics, December 1, 1986; 25(12): 626 - 628.
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