J Korean Soc Neonatol.  2012 Aug;19(3):154-157. 10.5385/jksn.2012.19.3.154.

Bronchial Perforation Complicating Endotracheal Intubation in an Extremely Low Birth Weight Infant

Affiliations
  • 1Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea. pondhong@gmail.com

Abstract

Bronchial injury is a rare and serious complication of endotracheal intubation in neonates. Bronchial perforation following tracheal intubation causes a high-volume air leak mimicking pneumothorax and pneumomediastinum, and it may result in intraventricular hemorrhage, mediastinitis and sepsis. I report my experience of diagnosing a main bronchial perforation in an extremely low birth weight infant, who had a high-volume air leak following tracheal intubation, which persisted after chest tube insertion.

Keyword

Bronchial perforation; Endotracheal intubation; Extremely low birth weight infant

MeSH Terms

Chest Tubes
Hemorrhage
Humans
Infant, Extremely Low Birth Weight
Infant, Newborn
Intubation
Intubation, Intratracheal
Mediastinal Emphysema
Mediastinitis
Pneumothorax
Sepsis
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