Selective fiberoptic left main-stem intubation for severe unilateral barotrauma in a 24-week premature infant
Article first published online: 4 FEB 2002
Copyright © 2002 Wiley-Liss, Inc.
Volume 33, Issue 3, pages 227–231, March 2002
How to Cite
Meyer, M. T., Rice, T. B. and Glaspey, J. C. (2002), Selective fiberoptic left main-stem intubation for severe unilateral barotrauma in a 24-week premature infant. Pediatr. Pulmonol., 33: 227–231. doi: 10.1002/ppul.10054
- Issue published online: 4 FEB 2002
- Article first published online: 4 FEB 2002
- Manuscript Accepted: 5 JAN 2001
- Manuscript Received: 8 SEP 2000
- fiberoptic intubation;
- left main-stem intubation;
- respiratory distress syndrome;
- selective bronchial intubation;
- single-lung ventilation
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.