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

Research output: Contribution to journalArticlepeer-review

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

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Selective fiberoptic left main-stem intubation to treat bronchial laceration in an extremely low birth weight neonate'. Together they form a unique fingerprint.

Cite this