Two cases of pneumatoceles in mechanically ventilated infants
المؤلفون المشاركون
al-Ismaili, Suad
al-Ghafri, Muhammad
al-Hanshi, Said
المصدر
العدد
المجلد 30، العدد 4 (31 أغسطس/آب 2015)، ص ص. 299-302، 4ص.
الناشر
المجلس العماني للاختصاصات الطبية
تاريخ النشر
2015-08-31
دولة النشر
سلطنة عمان
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Pulmonary pneumatocele is a thin-walled, gas-filled space within the lung that usually occurs in association with bacterial pneumonia and is usually transient.
The majority of pneumatoceles resolve spontaneously without active intervention, but in some cases they might lead to pneumothorax with subsequent hemodynamic instability.
We report two cases presented to the pediatric intensive care unit at the Royal Hospital, Oman with pneumatoceles.
The first was a 14-day-old baby who underwent surgical repair of total anomalous pulmonary venous connection (TAPVC) requiring extracorporeal membrane oxygenation (ECMO) support following surgery.
He was initially on conventional mechanical ventilation.
Seven days after the surgery, he started to develop bilateral pneumatoceles.
The pneumatoceles were not regressing and they did not respond to three weeks of conservative management with high-frequency oscillation ventilation (HFOV).
He failed four attempts of weaning from HFOV to conventional ventilation.
Each time he was developing tachypnea and carbon dioxide retention.
Percutaneous intercostal chest drain (ICD) insertion was needed to evacuate one large pneumatocele.
Subsequently, he improved and we were able to wean and extubate him.
The second case was a two-monthold male admitted with severe respiratory distress secondary to respiratory syncytial virus (RSV) pneumonitis.
After intubation, he required a high conventional ventilation setting and within 24 hours he was on HFOV.
Conservative management with HFOV was sufficient to treat the pneumatoceles and no further intervention was needed.
Our cases demonstrate two different approaches in the management of pneumatoceles in mechanically ventilated children.
Each approach was case dependent and could not be used interchangeably.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Ghafri, Muhammad& al-Hanshi, Said& al-Ismaili, Suad. 2015. Two cases of pneumatoceles in mechanically ventilated infants. Oman Medical Journal،Vol. 30, no. 4, pp.299-302.
https://search.emarefa.net/detail/BIM-798379
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Ghafri, Muhammad…[et al.]. Two cases of pneumatoceles in mechanically ventilated infants. Oman Medical Journal Vol. 30, no. 4 (2015), pp.299-302.
https://search.emarefa.net/detail/BIM-798379
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Ghafri, Muhammad& al-Hanshi, Said& al-Ismaili, Suad. Two cases of pneumatoceles in mechanically ventilated infants. Oman Medical Journal. 2015. Vol. 30, no. 4, pp.299-302.
https://search.emarefa.net/detail/BIM-798379
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 302
رقم السجل
BIM-798379
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر