Abstract
Background and aims: PEP is a commonlyapplied modality of chest physiotherapy in infantswith chronic respiratory conditions such as cysticfibrosis. We report two cases of infants with acuteright upper lobe collapse treated with PEP.
Patient 1: A two month old baby was admittedwith pertussis chest infection and was invasivelyventilated for nine days and on CPAP for seventeendays. The baby had right upper-lobe collapse withongoing oxygen requirement on day 31 of illness, having not resolved with conventional chestphysiotherapy. PEP was initiated in supported sittingusing an infant face mask and a 1.5mm resistor. Hereceived a total of 3 treatments over 2 days andwas discharged home with no oxygen requirementand resolution of X-ray changes prior to discharge.
Patient 2: Four week old ex-premature baby (31weeks) was admitted with RSV positive bronchiolitis, ventilated for six days and on CPAP for five days. Radiographic findings showed a right upper lobecollapse, persisting despite regular conventionalchest physiotherapy. PEP was started on day 12using an infant face mask and a 1.5mm resistor. On day 14, a repeat chest x-ray showed completeresolution of the right upper lobe collapse and thepatient was discharged home the next day.
Conclusions: The use of PEP in infants is anunder-reported but potentially beneficial modality inresolution of lobar collapse during acute illness.
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Ronan, C., Rae, C. & Vaidya, M. 1341 Positive Expiratory Pressure (PEP) for Lobar Collapse in Infants. Pediatr Res 68 (Suppl 1), 663–664 (2010). https://doi.org/10.1203/00006450-201011001-01341
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DOI: https://doi.org/10.1203/00006450-201011001-01341