Surgical resection for pulmonary interstitialemphysema in the newborn infant

Bauer, Charles R.; Brennan, M J; Doyle, Coleen; Poole, Catherine A.

doi:10.1016/s0022-3476(78)80912-3

Cited by 25 publications

(2 citation statements)

References 19 publications

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“…The mortality is high (Coradello, Fodor and Simbruner, 1980) and several treatments have been suggested including rapid hand ventilation with 100% oxygen (Ng and Easa, 1979), lobectomy (Bamer et al, 1980) and selective bronchial intubation (Brooks et al, 1977). We describe an infant treated by selective bronchial intubation.…”

Section: Introductionmentioning

confidence: 99%

Treatment of severe localized pulmonary interstitial emphysema by selective bronchial intubation

Smith

1984

Postgraduate Medical Journal

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Section: Introductionmentioning

confidence: 99%

Treatment of severe localized pulmonary interstitial emphysema by selective bronchial intubation

Smith

1984

Postgraduate Medical Journal

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“…Various modalities for the treatment of PIE have been used, including position therapy (1,2) high‐frequency ventilation (3) (HFV) visceral pleurotomy (4) pneumonectomy (5,6) and selective bronchial intubation (7–9). Selective left bronchial intubation for treatment of right‐sided PIE is technically challenging because of airway anatomy and has been reported infrequently in the literature.…”

Section: Introductionmentioning

confidence: 99%

Resolution of pulmonary interstitial emphysema following selective left main stem intubation in a premature newborn: an old procedure revisited

Chalak¹,

Kaiser²,

Arrington³

2007

Pediatric Anesthesia

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Pulmonary interstitial emphysema (PIE) contributes to worsening respiratory status in already compromised premature infants. Various treatments for PIE include high-frequency ventilation, postural therapy, pneumonectomy or lobectomy and selective bronchial intubation. While right main stem bronchus intubation is easy to perform at the bedside for treatment of PIE in the left lung, left main stem bronchus intubation for the treatment of right-sided PIE remains challenging and the technique was rarely reported and poorly described. In this case report, we revisit this procedure and describe successful treatment of right lung PIE with hyperinflation by selective left main stem intubation at 2 weeks of life in a 24-week-old premature infant who had respiratory distress syndrome and pulmonary hemorrhage. A detailed description is given to allow clinical bedside replication following specific anatomic landmarks.

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Selective fiberoptic left main‐stem intubation for severe unilateral barotrauma in a 24‐week premature infant

Meyer

Rice

Glaspey

2002

Pediatric Pulmonology

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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.

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Surgical resection for pulmonary interstitialemphysema in the newborn infant

Cited by 25 publications

References 19 publications

Treatment of severe localized pulmonary interstitial emphysema by selective bronchial intubation

Treatment of severe localized pulmonary interstitial emphysema by selective bronchial intubation

Resolution of pulmonary interstitial emphysema following selective left main stem intubation in a premature newborn: an old procedure revisited

Selective fiberoptic left main‐stem intubation for severe unilateral barotrauma in a 24‐week premature infant

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