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

doi:10.1016/j.ijporl.2010.03.022

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

Pediatric and Adolescent Medicine

Research output: Contribution to journal › Article › peer-review

5 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 language	English (US)
Pages (from-to)	707-710
Number of pages	4
Journal	International Journal of Pediatric Otorhinolaryngology
Volume	74
Issue number	6
DOIs	https://doi.org/10.1016/j.ijporl.2010.03.022
State	Published - Jun 2010

Keywords

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

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Otorhinolaryngology

Access to Document

10.1016/j.ijporl.2010.03.022

Cite this

@article{8f2a5be027da46269b9f9c528fc33cd2,

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

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.",

keywords = "Bronchial laceration, Extremely low birth weight, Fiberoptic bronchoscopy, Neonate, Pneumothorax, Selective bronchial intubation",

author = "{Van Dorn}, {Charlotte S.} and Sittig, {Steven E.} and Koch, {Cody A.} and Thompson, {Dana M.} and Carey, {William A.}",

year = "2010",

month = jun,

doi = "10.1016/j.ijporl.2010.03.022",

language = "English (US)",

volume = "74",

pages = "707--710",

journal = "International Journal of Pediatric Otorhinolaryngology",

issn = "0165-5876",

publisher = "Elsevier Ireland Ltd",

number = "6",

}

TY - JOUR

T1 - Selective fiberoptic left main-stem intubation to treat bronchial laceration in an extremely low birth weight neonate

AU - Van Dorn, Charlotte S.

AU - Sittig, Steven E.

AU - Koch, Cody A.

AU - Thompson, Dana M.

AU - Carey, William A.

PY - 2010/6

Y1 - 2010/6

N2 - 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.

AB - 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.

KW - Bronchial laceration

KW - Extremely low birth weight

KW - Fiberoptic bronchoscopy

KW - Neonate

KW - Pneumothorax

KW - Selective bronchial intubation

UR - http://www.scopus.com/inward/record.url?scp=77952741208&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77952741208&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2010.03.022

DO - 10.1016/j.ijporl.2010.03.022

M3 - Article

C2 - 20363034

AN - SCOPUS:77952741208

SN - 0165-5876

VL - 74

SP - 707

EP - 710

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

IS - 6

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this