(精编)【体外膜肺ECMO精品课件】 Physiologic Basis for the Management of Acute Respiratory Disorders in the Newborn教学课件.pptVIP

Left pneumothorax? pneumothorax Transillumination of left pneumothorax pneumomediastinum Pneumopericardium (note air under heart) Air Leaks initiating factor: PIE (alveolar rupture into perivascular and peribronchial spaces) dissection into mediastinum further dissection into pleural, pericardial space rupture from surface blebs direct lung rupture-VERY rare Air Leak Risk Factors RDS: 12-26% MAS/other aspirations Spontaneous Air Leak Management early recognition (esp. in preterms) nitrogen wash-out (term/near-term) needle aspiration v. tube thoracotomy limit barotrauma HFOV positioning selec