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Congenital Lobar Emphysema Case Study

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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 related to the hyperinflation of one or more of the pulmonary lobes. It is a condition in which the neonate or infant can accumulate more air into the lung than what can be utilized. This condition results in air trapping, and air leakage out into the pleural space and in most cases resulting in respiratory distress. The lobar is over distended and there is displacement of the mediastinum to the opposite side with the other lung undepressed. It is frequently detected weeks after birth or in early infancy. Congenital Lobar Emphysema is more common in boys though…show more content…
Echocardiogram: to disclose any congenital cardiac disorders. The patient is treated based on the diagnosis: if the patient has mild symptoms, monitor for any change; in severe cases patients may need a lobectomy to improve their life expectancy. In this case, the patient is in severe respiratory distress with accompanying tachycardia, on auscultation decreased sounds in the right upper hemithorax, tachypnea, and SpO2 of 80% on room air. The patient had been treated without any improvement, in retrospect the patient is deteriorating. At this time the best procedure to improve patient oxygenation and life expectancy is to perform 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 monitor the infant’s heart. NG tube was aspirated with a syringe before apply any anesthesia to prevent any aspiration during and after the surgery; monitor blood pressure, SpO2, rectal temperature, ETCO2, and fluids to maintain vitals in normal ranges. Blood transfusion was placed on hold in case of any
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