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Indian J Anaesth. 2009 Aug;53(4):482-5.

Congenital lobar emphysema.

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  • 1Department of Cardiac Anaesthesiology, Meenakshi Mission Hospital and Research Center, Lakearea, Madurai TN 625107.



Congenital lobar emphysema (CLE) characterized by over distension and air-trapping in the affected lobe is one of the causes of infantile respiratory distress requiring surgical resection of affected lobe. At induction, positive pressure ventilation can expand the emphysematous lobe compressing the normal lung resulting in severe cardiovascular compromise. We report a case of 28 day old baby with CLE posted for emergency lobectomy. Strategies to prevent hyperinflation and anaesthetic considerations of various techniques adopted for lung separation in infants have been reviewed.


Congenitallobar emphysema; Hyperinflation of emphysematous lung; Neonatal anaesthesia; Positive pressure ventilation

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