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Selective fiberoptic left main‐stem intubation for severe unilateral barotrauma in a 24‐week premature infant
Author(s) -
Meyer Michael T.,
Rice Tom B.,
Glaspey John C.
Publication year - 2002
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.10054
Subject(s) - medicine , pneumothorax , anesthesia , respiratory distress , ventilation (architecture) , mechanical ventilation , intubation , high frequency ventilation , surgery , mechanical engineering , engineering
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. Pediatr Pulmonol. 2002; 33:227–231. © 2002 Wiley‐Liss, Inc.