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Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant
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 alternat...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700577/ https://www.ncbi.nlm.nih.gov/pubmed/34943403 http://dx.doi.org/10.3390/children8121208 |
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author | Amelio, Giacomo Simeone Colnaghi, Mariarosa Gulden, Silvia Raffaeli, Genny Cortesi, Valeria Amodeo, Ilaria Cavallaro, Giacomo Mosca, Fabio Ghirardello, Stefano |
author_facet | Amelio, Giacomo Simeone Colnaghi, Mariarosa Gulden, Silvia Raffaeli, Genny Cortesi, Valeria Amodeo, Ilaria Cavallaro, Giacomo Mosca, Fabio Ghirardello, Stefano |
author_sort | Amelio, Giacomo Simeone |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8700577 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87005772021-12-24 Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant Amelio, Giacomo Simeone Colnaghi, Mariarosa Gulden, Silvia Raffaeli, Genny Cortesi, Valeria Amodeo, Ilaria Cavallaro, Giacomo Mosca, Fabio Ghirardello, Stefano Children (Basel) Case Report 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. MDPI 2021-12-20 /pmc/articles/PMC8700577/ /pubmed/34943403 http://dx.doi.org/10.3390/children8121208 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Amelio, Giacomo Simeone Colnaghi, Mariarosa Gulden, Silvia Raffaeli, Genny Cortesi, Valeria Amodeo, Ilaria Cavallaro, Giacomo Mosca, Fabio Ghirardello, Stefano Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant |
title | Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant |
title_full | Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant |
title_fullStr | Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant |
title_full_unstemmed | Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant |
title_short | Selective Bronchial Occlusion for Treatment of a Bronchopleural Fistula in an Extremely Preterm Infant |
title_sort | selective bronchial occlusion for treatment of a bronchopleural fistula in an extremely preterm infant |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700577/ https://www.ncbi.nlm.nih.gov/pubmed/34943403 http://dx.doi.org/10.3390/children8121208 |
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