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- Title
Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant.
- Authors
Amelio, Giacomo Simeone; Colnaghi, Mariarosa; Gulden, Silvia; Raffaeli, Genny; Cortesi, Valeria; Amodeo, Ilaria; Cavallaro, Giacomo; Mosca, Fabio; Ghirardello, Stefano
- Abstract
Neonatal pulmonary air leak commonly occurs as a complication of mechanical ventilation in infants with underlying hyaline membrane disease. They can commonly be managed conservatively or with the application of a chest drain, but some severe cases pose a significant challenge in finding an alternative therapeutic solution. Selective bronchial occlusion represents an unconventional rescue therapy for treating bronchopleural fistula resistant to the standard therapy. A 27-week gestation preterm infant ventilated for respiratory distress syndrome developed tension right-sided pneumothorax. Conventional modalities of treatment were tried and were unsuccessful. Intermittent selective bronchial occlusion with a Fogarty’s catheter and high-frequency oscillatory ventilation resulted in considerable improvement in the infant’s clinical condition and radiographic findings.
- Subjects
BRONCHIAL fistula; PREMATURE infants; ARTIFICIAL respiration; HYALINE membrane disease; PNEUMOTHORAX
- Publication
Children, 2021, Vol 8, Issue 12, p1
- ISSN
2227-9067
- Publication type
Article
- DOI
10.3390/children8121208