[Management of unilateral or asymmetrical XXXX (author's transl)].

@entity1 @entity2507 @entity358 @entity26
To determine the indications of body position, continuous positive airway pressure and independent lung ventilation in @entity358 , we turned 10 @entity1 with overwhelming @entity358 from supine to lateral position. All @entity1 were breathing spontaneously with a mask, then associated with continuous airway pressure (10 cm @entity2507 PEEP) in five cases. During these spontaneous ventilation methods, hemodynamic parameters did not change, but arterial blood @entity26 tension increased and intra-pulmonary shunting decreased significantly. Final recovery was obtained in 7 cases. In the 3 others, mechanical ventilation was needed because spontaneous breathing methods were ineffective in improving blood gases. Lateral position and conventional ventilation with positive airway pressure were also ineffective. Only independent ventilation enhanced arterial blood @entity26 tension. But only one @entity1 survived. We conclude that spontaneous breathing methods are able to provide successful treatment in most of @entity1 with @entity358 . In other @entity1 , only independent lung ventilation is effective.
