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Decreasing mean airway pressure as a management strategy for tension pneumatocoeles
  1. Abigail C Wellington,
  2. Nitsana A Spigland,
  3. Stefan Worgall,
  4. Alan M Groves
  1. Department of Pediatrics, Weill Cornell Medical College, New York, New York, USA
  1. Correspondence to Dr Alan Groves, Department of Pediatrics, 525 East 68th Street, Suite N-506, New York, NY 10021, USA; alg2049{at}med.cornell.edu

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A 1.4 kg ex-preterm infant recovering from staphylococcal sepsis/pneumonia developed increasing respiratory distress. Chest X-ray showed large bilateral pneumatocoeles, R>L (figure 1A). Mean airway pressure on continuous positive airway pressure was increased (8 cm H2O) and the baby positioned right-side-up aiming to expand the atelectatic right lung. Subsequent chest X-ray and chest CT showed an enlarging …

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