1984
DOI: 10.1016/s0022-3476(84)81113-0
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Lateral decubitus position as therapy for persistent focal pulmonary interstitial emphysema in neonates: A preliminary report

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Cited by 43 publications
(14 citation statements)
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“…Complete resolution occurred in the second twin within 8 hours after management by appropriate positioning and delivery of oxygen by nasal cannula alone. Although positioning the infant with the affected lung in the dependent position has only been reported as a supportive measure and rarely described as bringing about resolution per se [8], our observations seem to confirm that selective intubation of the healthy lung, as well as a conservative approach employing the dependent position could be causing resolution in uPIE.…”
supporting
confidence: 67%
“…Complete resolution occurred in the second twin within 8 hours after management by appropriate positioning and delivery of oxygen by nasal cannula alone. Although positioning the infant with the affected lung in the dependent position has only been reported as a supportive measure and rarely described as bringing about resolution per se [8], our observations seem to confirm that selective intubation of the healthy lung, as well as a conservative approach employing the dependent position could be causing resolution in uPIE.…”
supporting
confidence: 67%
“…Some authors recommend conservative management in the first instance (selective intubation and selective bronchial obstruction and/or decubital positioning) [9][10][11]. Resection of the LPPIE may be beneficial when there is: 1) significant reduction in effective lung volume producing ventilator dependence; 2) atelectasis and recurrent infections; or 3) recurrent pneumothoraces.…”
Section: Discussionmentioning
confidence: 99%
“…Die strikte Seitenlagerung auf der betroffenen Seite ist eine harmlose,nichtinvasive Methode in der Behandlung des interstitiellen Emphysems [7]. Dabei komprimiert das Gewicht der benachbarten Strukturen die unten liegende, kranke Lunge, sodass diese weniger belüftet und entsprechend der gleiche Effekt wie durch invasivere Maßnahmen erzielt wird.Die Kombination mit einer systemischen Steroidgabe erscheint aus oben erwähnten pathophysiologischen Gründen sinnvoll und hat den gleichen Ansatzpunkt wie der Einsatz von Steroiden zur Behandlung der bronchopulmonalen Dysplasie: Reduktion von entzündlicher Atemwegsreaktion, Ödemneigung und bronchialer Obstruktion [4, 8,16].…”
Section: Diskussionunclassified