Congenital Lobar Emphysema: An Anaesthetic Challenge

10 January, 2019 jaccradmin 0 Comments

Vol 5 | Issue 1 | Jan-April 2019 | page: 11-13 | Anita R Chhabra, Vijay L Shetty, Hemalata R Iyer, Shivaji B Mane

Authors: Anita R Chhabra [1], Vijay L Shetty [1], Hemalata R Iyer [1], Shivaji B Mane [2].

[1] Department of Anaesthesiology, Fortis Helth Care, Mulund, Mumbai.
[2] Department of Paediatric Surgery, Fortis Helth Care, Mulund, Mumbai.

Address of Correspondence

Dr. Anita R Chhabra,
Department of Anaesthesiology, Fortis Helth Care,
Mulund, Mumbai.
Email: canita24@yahoo.com

Abstract

Congenital Lobar Emphysema (CLE) is a rare, life-threatening yet potentially curable cause of respiratory distress in neonates and infants presenting with varying degrees of severity. There is hyperinflation due to air trapping in the affected lobe(s) resulting in a mediastinal shift, hemodynamic instability, and hypoxia. We report a case of CLE in a 3-month-old male baby who was posted for thoracotomy and left upper lobe lobectomy. Here, we discuss the anaesthetic challenges and management including endobronchial intubation, controlled ventilation, and the successful outcome
Keywords: Congenital Lobar Emphysema, Endobronchial intubation, Lobectomy

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How to Cite this Article: Chhabra A R, Shetty1 V L, Iyer H R, Mane S B. Congenital Lobar Emphysema: An Anaesthetic Challenge. Journal of Anaesthesia and Critical Care Case Reports Jan-April 2019;5(1):11-13.