Congenital Lobar Emphysema Case Study

Congenital Lobar Emphysema

II. Congenital Lobar Emphysema also known as Congenital Lobar Over-inflation (CLO) and Infantile Lobar Emphysema is a rare congenital respiratory anomaly considered by hyperinflation of one or more of the pulmonary lobes. A condition in which the neonate or infantile can get more air into the lung, than what can get rid of it, resulting in air trapping, and air to leak out into the pleura space; following in most of the cases with respiratory distress, a lobar over distended, displacement of the mediastinum to the opposite site shifted, and the other lung undepressed. It is frequently detected after weeks of been born or in early infants. Congenital Lobar Emphysema is more common in a boy, the cause that is more prevalence

Depends on the diagnosis is the patient get treat: if the patient has mild symptoms are usually monitored for any change, in severe cases patients need a lobectomy to improve their life expectancy. In this case, the patient is in severe respiratory distress, Tachycardia, in auscultation decreased sounds in the right upper hemithorax, tachypnea and SpO2 is 80% in room air. The patient had been treated without any improvement, in reoccurrence patient is deteriorating. At time the procedure to improve patient oxygenation, and life expectancy; is a right upper lobe lobectomy.

V. The infant was placed on the heating mattress to maintain his body temperature. A pulse oximeter and cardioscope in place to check oxygenation and to monitored infant’s

Blood transfusion was on hold in case of any hemorrhage.

Drugs that were given during surgery were: Atropine 0.01mg x Kg to keep heart rate in normal ranges and also to lower body fluids, Fentanyl 3mcg IV for pain. The infant was preoxygenated for 5 minutes to increase the oxygen reserves for the time between anesthesia and intubation. The infant was place in left lateral position; Sevoruflane inhale was given with gentle manual facemask to prevent hyperinflation.

GlideScope pediatric was use for intubation with a 3.5 size endotracheal tube. Ventilator was in Spontaneous with a 100% oxygenation; to prevent any barotrauma. Chest drain tube was placed to drain any blood, air or fluid, also to allow the lung to expand.

Potential complication for this procedure is hemorrhage, infection, tension pneumothorax, empyema, brochopleural fistula and other depending in patient’s medical