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Revista Cubana de Pediatría

versión On-line ISSN 1561-3119

Resumen

GONZALEZ ALONSO, María Victoria; MESA RIQUELME, . Luis Antonio; DOMINGUEZ DIEPPA, Fernando  y  PORTO RODRIGUEZ, Aida Silvia. Tratamiento del enfisema intersticial pulmonar unilateral con ventilación monopulmonar contralateral: Presentación de 1 caso. Rev Cubana Pediatr [online]. 1998, vol.70, n.2, pp. 108-112. ISSN 1561-3119.

It is presented a case of a newborn of 750 g of weight and 27 weeks of gestational age that during his evolution in the mechanical respiratory assistance had a pulmonary interstitial emphysema on stress in the right lung, which produced mediastinal displacement and poor airing of the left lung. The subsequent hypercapsia made all the attempts to reduce the inspiratory pressure in the proximal air passage fail and therefore, the interstitial emphysema got worse. After the 6th day of life, it was decided to carry out selective intubation of the left bronchial trunk and to mantain the patient with left monopulmonary ventilation during 36 hours. On placing the tube into the trachea again, the right lung reexpanded and it was observed a remarkable decrease of the pulmonary interstitial emphysema and an important gasometric improvement that allowed to reduce that intensity of the ventilatory support. The patient died later due to a necrotizing enteritis.

Palabras llave : PULMONARY EMPHYSEMA [therapy]; RESPIRATION, ARTIFICIAL [methods]; INTUBATION, INTRATRACHEAL.

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