Selective fiberoptic left main-stem intubation to treat bronchial laceration in an extremely low birth weight neonate

Charlotte S. Van Dorn, Steven E. Sittig, Cody A. Koch, Dana M. Thompson, William A. Carey*

*Corresponding author for this work

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

A neonate born at 24 weeks gestation developed a right tension pneumothorax that persisted despite the placement of multiple thoracostomy tubes, the use of high-frequency ventilation and postural therapy. On day-of-life 11, bedside bronchoscopy revealed a laceration at the junction of the trachea and right main-stem bronchus. Under fiberoptic guidance the left main-stem bronchus was intubated. Single-lung ventilation then was employed for 24. h, after which time the pneumothorax never recurred. We postulate that the diversion of positive-pressure ventilation away from the laceration site allowed the surrounding injury-induced granulation tissue to create a seal and facilitate closure of the defect.

Original languageEnglish (US)
Pages (from-to)707-710
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume74
Issue number6
DOIs
StatePublished - Jun 1 2010

Keywords

  • Bronchial laceration
  • Extremely low birth weight
  • Fiberoptic bronchoscopy
  • Neonate
  • Pneumothorax
  • Selective bronchial intubation

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health

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