Anesthetic management of congenital lobar emphysema in a neonate

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Congenital lobar emphysema also known as infantile lobar emphysema is a condition where air that enters the lungs cannot leave as a result of collapsible bronchus that obstructs the expiration. The disease is characterized by hyperinflation of one or more lobes.1 Over distension of emphysematous lobe is characterized by expiratory air trapping within the lobe producing compression and atelectasis of adjacent lobes.2 The most common lobes affected are the left upper lobe (42%), the right middle lobe (30%), right upper lobe (20%) and both the lungs may also be involved (20%).




Jacob, M., Ramesh, G. S., & Narmadha Lakshmi, K. (2015). Anesthetic management of congenital lobar emphysema in a neonate. Medical Journal Armed Forces India, 71, S287–S289.

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