Severe desaturation while attempting one-lung ventilation for congenital cystic adenomatoid malformation with respiratory distress syndrome in neonate -A case report-
نویسندگان
چکیده
There are many methods for achieving one-lung ventilation (OLV) during thoracic surgery in neonates and the accuracy of OLV may affect postoperative outcome. The authors have performed OLV using a 5 Fr Arndt endobronchial blocker (AEB, Cook Inc., Bloomington, IN, USA) on a neonate diagnosed with congenital cystic adenomatoid malformation and respiratory distress syndrome (RDS) associated with marked mediastinal shift. In spite of sufficient preoxygenation, sudden and severe fall in oxygen saturation had occurred. Since neonates with RDS may develop sudden and severe desaturation, rapid intubation with anticipation of potential difficulty is necessary as well as sufficient preoxygenation.
منابع مشابه
Congenital Cystic Adenomatoid Malformation (CCAM) of Lung in an Infant: A Case Report from Jammu & Kashmir, Northern India
Congenital cystic Adenomatoid malformation is a rare developmental abnormality of the lung occuring in 1-4/100000 live births.In most cases the outcome with CCAM in fetus is very good,while in some cases the outcome is very bad and can be life threatning for the fetus.we report here a case of 40 day old female infant who presented with worsening respiratory distress since birth and x ray and CT...
متن کاملCongenital Cystic Adenomatoid Malformation: Case Report
Congenital cystic adenomatoid malformation of the lung is a rare lesion that typically manifests as severe progressive respiratory distress in the neonate secondary to expansion of the affected lung. We present a neonate in whom this condition was diagnosed and managed at the Aga Khan University Hospital. In presenting this patient, we hope to highlight the radiological aspects of this conditio...
متن کاملCongenital Cystic Adenomatoid Malformation: Case Report Authors
Congenital Cystic Adenomatoid Malformation (CCAM) is a rare development abnormality of the lung occurring in 14 / 100,000 live birth.it is often confused with pneumatocoele or pneumothorax which are common in developing countries. We report here a case of 5 months old baby with features of respiratory distress since birth and CECT thorax suggestive of large cystic lesion of left lung i.e., CCAM.
متن کامل[Congenital cystic adenomatoid malformation: a case report].
Cystic adenomatoid malformation is a rare pulmonary hamartomatous lesion, of an unknown etiology. Report a singular case of CAM of one newborn, with marked respiratory distress. Using different method (chest X-ray, Multidetector row CT associated at multiplanar and three-dimensional reconstructions), we obtained an accurate diagnosis of site and nature, critical for a correct therapeutic approach.
متن کاملA case of localized persistent interstitial pulmonary emphysema.
Interstitial pulmonary emphysema is a well-documented complication of assisted mechanical ventilation in premature infants with respiratory distress syndrome. Localized persistent interstitial pulmonary emphysema (LPIPE) confined to a single lobe was incidentally presented in a 4-day-old female infant. This patient was a normal full-term baby with no respiratory distress symptom and no experien...
متن کامل