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Selective bronchial intubation in a preterm infant with congenital cystic adenomatoid malformation and pulmonary air leak syndrome
Author(s) -
Balegar V Kiran Kumar,
Barr Peter A,
McCauley James Charles,
Thomas Gordon
Publication year - 2013
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.1440-1754.2012.02500.x
Subject(s) - medicine , congenital cystic adenomatoid malformation , leak , bronchopleural fistula , bronchus , surgery , lung , anesthesia , intubation , fistula , respiratory disease , pneumonectomy , pregnancy , fetus , engineering , biology , genetics , environmental engineering
A preterm infant with congenital cystic adenomatoid malformation (CCAM) who developed a right‐sided pulmonary air leak syndrome (pulmonary interstitial emphysema and bronchopleural fistula) following CCAM resection is reported. The pulmonary air leak syndrome was successfully ameliorated by intubating the right mainstem bronchus using a modified endotracheal tube that allowed selective ventilation of the left lung. The procedure was used successfully as rescue treatment to control the pulmonary air leak and to confirm the functional adequacy of the left lung prior to definitive operative surgery.