Congenital Lobar Emphysema: Anaesthetic Challenges and Review of Literature
Published: September 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/26318.10617
Suman Saini, Smita Prakash, Meera Rajeev, K.KGirdhar
1. Associate Professor, Department of Anaesthesia, V.M.M.C and Safdarjung Hospital, New Delhi, India.
2. Professor, Department of Anaesthesia, V.M.M.C and Safdarjung Hospital, New Delhi, India.
3. Postgraduate, Department of Anaesthesia, V.M.M.C and Safdarjung Hospital, New Delhi, India.
4. Professor and Head, Department of Anaesthesia, V.M.M.C and Safdarjung Hospital, New Delhi, India.
Correspondence
Dr. Suman Saini,
H.No 43, B-1 Block, Janakpuri, New Delhi-110058, India.
E-mail:drsainisuman@yahoo.com
Congenital Lobar Emphysema (CLE) is a developmental anomaly, characterized by hyperinflation of one or more pulmonary lobes. It presents in infancy with variable degree of respiratory distress due to compression atelectasis. It is most often associated with mediastinal shift with subsequent hypoxia. CLE poses a diagnostic and therapeutic dilemma. We report a case of five-month-old infant of CLE requiring left lobectomy, who was previously being treated for pneumonia which was unresponsive to medical therapy. Anaesthetic challenges experienced during the case and a brief review of literature is presented.
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