What is a notable management strategy for a neonate with pulmonary interstitial emphysema?

Turning the infant with the affected lung down is a notable management strategy for a neonate with pulmonary interstitial emphysema because this position helps to maximize ventilation of the healthy lung while minimizing the expansion of the affected lung. By placing the infant in this position, gravity assists in directing airflow towards the side that is functioning better, which can enhance oxygenation and support overall respiratory function.

This approach can also help in reducing the risk of further complications, such as airway obstruction or worsening of air leak syndromes commonly associated with pulmonary interstitial emphysema. Effective management of the infant’s position can be pivotal in promoting optimal lung health and minimizing distress.

In contrast, other strategies like positioning the infant upright might not provide the same level of targeted support for the affected lung. Frequent repositioning can be beneficial for general care but does not specifically address the issue of lung function in the context of interstitial emphysema. Additionally, using high tidal volumes for ventilation can lead to over-distension of the lung and further damage, which is not appropriate in the management of pulmonary interstitial emphysema.