Case report: non invasive ventilator recruitment for sever neonatal pnumothorax complicated by pulmonary haemorrhage

This case report documents a rare challenging instance of sever neonatal pnumothorax in a critically illl preterm infant. The patient presented with marked lung collapse , pulmonary haemorrhage , and sever hypoxemia while on mechanical ventilator. The patient was successfully managed using a non-invasive ventilator recruitment strategy, avoiding chest tube insertion. Serial imaging confirmed gradual lung re-expansion .this case highlights an ulternative approach for high-risk neonates in nicu settings