What to do about pulmonary interstitial emphysema in newborns

Patient's question:

In recent weeks, my child has been unwell. Their breathing has been particularly difficult. When they went to the hospital for a check-up, the doctor said they have neonatal pulmonary air leak. I'm not sure what that means. What should be done about neonatal pulmonary air leak?

Doctor's answer:

Newborn pneumothorax allows the infant to breathe symptomatically or only rapidly. The type of leak depends on the location of the leak in the normal lung. It includes interstitial emphysema, mediastinal emphysema, pneumothorax, and subcutaneous emphysema. Stay quiet. Closely monitor clinical cases with asymptomatic or mild symptoms. Prevent the leak from worsening due to crying. If the leak does not continue, free gas can be absorbed by itself. Pneumoperitoneum is generally absorbed on its own. It is recommended to feed the infant with small amounts of milk multiple times to prevent abdominal distension from affecting ventilation. The primary lung disease should be treated specifically. When using mechanical ventilation, it is recommended to reduce positive pressure and prolong exhalation time, which can often improve symptoms.

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