pulmonary interstitial emphysema

What is the Treatment Approach?

The treatment of PIE aims to minimize further air leakage and improve oxygenation. Strategies include:
- Minimizing Ventilator Pressures: Adjusting ventilator settings to use the lowest effective pressures.
- Changing Ventilation Strategies: Techniques like high-frequency oscillatory ventilation (HFOV) can reduce the risk of further alveolar rupture.
- Selective Intubation: In cases where PIE is localized to one lung, selective intubation or differential lung ventilation may be employed.
- Thoracentesis or Chest Tubes: In severe cases, inserting a chest tube can help evacuate trapped air.
- Supportive Care: Providing adequate oxygenation, nutrition, and monitoring for complications like infections.

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