alexa Management of Pulmonary Interstitial Emphysema in a Pre
ISSN: 2161-105X

Journal of Pulmonary & Respiratory Medicine
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Case Report

Management of Pulmonary Interstitial Emphysema in a Premature Infant using Nasopharyngeal High-Frequency Oscillatory Ventilation

Khalil I. Al Tawil1*, Ibrahim A. Ahmed1, Hesham Tawakol1, Noura Bin Saleem1, Saif A. AlSaif1 and Alaa Eldemerdash2

1Department of Pediatrics, Internal mail code 1510, King Abdulaziz Medical City, Riyadh 11426, Kingdom of Saudi Arabia

2Department of Pediatrics, Alwasl Hospital, Dubai, UAE

*Corresponding Author:
Khalil AlTawil
MD, Pediatric Department, Internal mail code 1510
King Abdulaziz Medical City
Riyadh 11426, Kingdom of Saudi Arabia
Tel: 00966 503107188
Fax: 00966 12520088 Extension 11641
E-mail:[email protected]

Received date: September 05, 2011; Accepted date: November 29, 2011; Published date: December 01, 2011

Citation: Al Tawil KI, Ahmed IA, Tawakol H, Saleem NB, AlSaif SA, et al. (2011) Management of Pulmonary Interstitial Emphysema in a Premature Infant using Nasopharyngeal High-Frequency Oscillatory Ventilation. J Pulmonar Respirat Med 1:108. doi: 10.4172/2161-105X.1000108

Copyright: © 2011 Al Tawil KI, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Pulmonary interstitial emphysema in mechanically ventilated premature infants is a serious complication that is difficult to manage and is associated with a poor prognosis [1]. We describe a premature infant with respiratory insufficiency secondary to severe pulmonary interstitial emphysema that was managed with nasopharyngeal highfrequency oscillatory ventilation, as a non-invasive mode of ventilation. Our case report does not clearly differentiate whether the improvement in gas exchange and eventual resolution of PIE are attributable to the use of non-invasive HFOV or to the use more appropriate low frequency (7Hz) with the non-invasive approach. Further studies of NP-HFOV use in infants with PIE are needed to support our report Conclusion: NP-HFOV may be utilized in infants with PIE associated with compromised respiratory function. NPHFOV may decrease the chance of further pulmonary complications, including pneumonia and lung atelectasis, and facilitate care of sick infants while on NP-HFOV.


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