Faculty Collaboration Database

Selective fiberoptic left main-stem intubation for severe unilateral barotrauma in a 24-week premature infant. Pediatr Pulmonol 2002 Mar;33(3):227-31

Date

02/12/2002

Pubmed ID

11836804

DOI

10.1002/ppul.10054

Scopus ID

2-s2.0-0036179859 (requires institutional sign-in at Scopus site)   12 Citations

Abstract

A 24-week premature infant developed severe right-sided pulmonary barotrauma secondary to mechanical ventilation for respiratory distress syndrome (RDS). High-frequency oscillatory ventilation and permissive hypercapnia were initiated. A chest tube was placed to relieve a pneumothorax, and a catheter was inserted into an air-filled cyst for drainage. These maneuvers failed to improve the child's respiratory status. The child's left main-stem bronchus was then successfully fiberoptically intubated for single-lung ventilation in order to reduce the unilateral barotrauma. Single-lung ventilation was effectively and safely continued for 5 days, with complete resolution of the pulmonary barotrauma.

Author List

Meyer MT, Rice TB, Glaspey JC

Author

Michael T. Meyer MD Chief, Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Barotrauma
Bronchoscopy
Female
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Intubation, Intratracheal
Respiration, Artificial
Respiratory Distress Syndrome, Newborn
Treatment Outcome