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2026, Number 1

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Arch Inv Mat Inf 2026; 17 (1)

Anesthetic management of a newborn with congenital lobar emphysema undergoing lobectomy: a case report

Canaría PLM, Roblero PLA

Language: Spanish
References: 10
Page: 23-27
PDF size: 1653.38 Kb.


ABSTRACT

Introduction: congenital lobar emphysema (CLE) is a rare pulmonary malformation that may cause severe respiratory failure in the neonatal period. Anesthetic management is challenging due to dynamic hyperinflation and cardiovascular collapse risk. Case presentation: a 14-day-old female newborn with left upper lobe CLE (ASA III E) underwent thoracotomy and lobectomy with inhalational induction, protective ventilation, and permissive hypercapnia. Results: intraoperative hemodynamic stability was maintained. The patient was transferred to Neonatal Intensive Care Unit (NICU) and successfully extubated at 48 hours postoperatively. Conclusion: early lobectomy with a protective anesthetic strategy offers excellent prognosis. Early pleural opening and permissive hypercapnia are cornerstones of management.


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