{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:36:05Z","timestamp":1777876565328,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pulmonary interstitial emphysema (PIE) can occur in the immature lungs of preterm infants due to overdistension from mechanical ventilation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>Preterm female infant (26\u00a0weeks of gestational age, 950\u00a0grams) born via urgent cesarean section, APGAR 1\/3\/6. Invasive mechanical ventilation during the first day of life transitioned to noninvasive positive pressure ventilation (NIPPV), afterward initially stable. Apnea and bradycardia noted at 20\u00a0days of life, requiring endotracheal intubation, with complementary studies showing right PIE. Progressive emphysema deterioration, air trapping, and left lung atelectasis, with hemodynamic repercussion despite positioning, high-frequency oscillatory ventilation, and hemodynamic support with dopamine and dobutamine. Selective left intubation attempted positioning the infant, unsuccessful. Due to failure of conventional therapies and impossibility to achieve selective intubation, pediatric surgery performed endobronchial balloon occlusion with angioplasty balloon inflated with contrast with fluoroscopy control. Progressive improvement, weaning ventilatory settings with acceptable oxygenation. Balloon was retired after 5\u00a0days. Mechanical ventilation was discontinued at 52\u00a0days of life. Infant was discharged without respiratory support nor oxygen at 100\u00a0days of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PIE treatment is based in conventional measures (respiratory support and positioning) but eventually might require alternative techniques when the first fail, with limited work in pediatric population and further technical limitations in the preterm infants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19345798241296332","type":"journal-article","created":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T06:48:02Z","timestamp":1733208482000},"page":"863-868","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Challenging acquired pulmonary interstitial emphysema in an extreme preterm infant: A case report and review of literature"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1436-1056","authenticated-orcid":false,"given":"Clara","family":"Gonz\u00e1lez L\u00f3pez","sequence":"first","affiliation":[{"name":"Servicio de Neonatolog\u00eda, \u00c1rea de Gesti\u00f3n Cl\u00ednica de la Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Lareu Vidal","sequence":"additional","affiliation":[{"name":"Servicio de Neonatolog\u00eda, \u00c1rea de Gesti\u00f3n Cl\u00ednica de la Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00edctor","family":"\u00c1lvarez Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Pedi\u00e1trica, \u00c1rea de Gesti\u00f3n Cl\u00ednica de la Infancia y Adolescencia, Hospital Universitario Central de 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