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Lobar Atelectasis after Nasotracheal Intubation in Newborn Infants
Author(s) -
ROPER P. C.,
VONWILLER J. B.,
FISK G. C.,
GUPTA J. M.
Publication year - 1976
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1976.tb02515.x
Subject(s) - atelectasis , medicine , suction , intubation , nasotracheal intubation , bronchus , surgery , anesthesia , lobe , lung , anatomy , respiratory disease , mechanical engineering , engineering
Roper, P. C., Vonwiller, J. B., Fisk, G. C. and Gupta, J. M. (1976).Aust. paediat. J. , 12, 272–275. Lobar atelectasis after nasotracheal intubation in newborn infants. Atelectasis of the right upper lobe is not uncommon after removal of a nasotracheal tube which has been in place for several days. Lobar atelectasis developed in 18 of 188 who were intubated. Six patients had atelectasis of various lobes (predominantly the right upper lobe) while intubated, and 12 after extubation (all of these being the right upper lobe or right lung). Two patients had recurrent atelectasis, a nasotracheal tube being reinserted for periods of several days. Since then the management of patients after extubation has been changed. Physiotherapy is aimed at clearing the right upper lobe. When tracheal suction is needed, intubation is limited to a few minutes. The average time to expand the affected lobes has been less with this regime. It is suggested that atelectasis of the right upper lobe is associated with (1) damage to the main bronchus by suction catheters and (2) the position of the right upper lobe bronchus.