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Guest danw

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Yes, mediastinum is deviated towards the healthy (right) side, baby is still on vent, tomorow we will do scintigraphy of lungs and then we decide what we´ll be doing.

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  • 1 year later...

We had a baby about two months back.

He was a 34 week preterm baby, with massive CONG CAM of right lung with severe shift of mediatinum to the left. We had a hard time maintaining his oxygention. Within hours he was on very high pressures on conventional ventilator. Predictably developed bilateral pnemothoraces and had bilateral ICT in situ by the end of 3 hours of life.

But oxygenation was still a problem . We shifted him to HFOV and then used inhaled nitric oxide to try to balance V/Q matching.

That worked at dose of 40ppm. He stabilized. After few days he was "critically stable " enough to be operated and the lesion was excised by a lobectomy.

Following surgery he went to act very peculiarly after 2 weeks behaving like BPD. He again developed a left pnemothorax which ultimately resolved. He could not be weaned from ventilator support , and required unconventional institution of steroids as a last ditch effort. Now he is off steroids, recovering from fungal sepsis, on tube feeds. on low parameters on conventional ventilator. He is alert , looking around.

Both the baby and the doctor are waiting for the day he will be extubated.

He is now a 2 month old boy.

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