Persistent acquired lobar overinflation complicating bronchopulmonary dysplasia

Abstract

The place of specific therapies for persistent acquired lobar overinflation is unclear. Surgery to remove the overinflated lobe in such cases may be inappropriate and the outcome of this complication of bronchopulmonary dysplasia appears to be poor.

Flexible fiberoptic bronchoscopy – a bedside technique for neonatologists

“…Similar rates (69%) have been reported in Pediatric Intensive Care Unit (PICU) patients [11]. Likewise, failure of weaning from ventilation has been associated with airway abnormalities such as stenoses, malacia, and granulation tissue has been described in infants with chronic lung disease of prematurity [12]. Clinical management has been reported to be directly affected by the results in almost half of the procedures [13].…”

Pediatric bronchoscopy

“…66,67 With small¯exible endoscopes (e.g., 2.2 mm OD), even premature infants can be endoscoped through the endotracheal tube. 70 However, signi®cant oxygen desaturation and even transient bradycardia were observed in 14% of such procedures despite the use of an adapter allowing uninterrupted ventilation. Proposed uses have been to check for tube obstruction, obviating the change of the endotracheal tube, 68 demonstrating the exact position of the tip of the tube, 69 and the diagnosis of airway obstruction in lobar overin¯ation.…”

Decompression of Multiple Pneumatoceles in a Premature Infant by Percutaneous Catheter Placement

“…1,2 The pathogenesis is multifactorial. Volutrauma, infection, oxygen toxicity, and lung immaturity are known to play important roles in its development.…”