title: Bronchial complication of a closed-tube endotracheal suction catheter.
abstract: Iatrogenic bronchial complications in intubated premature infants are rare. The authors present one case of rupture of a closed-tube endotracheal suction catheter. Clinical presentation was a persistent pneumothorax that required chest tube placement in several days. A foreign body was confirmed in x-ray and computed tomography (CT) scan. Flexible bronchoscopy showed a piece of catheter in the left bronchus and using a rigid bronchoscope was possible to remove. No perforation was found. There are a few reports in the literature of iatrogenic bronchial complication in premature infants caused by closed-tube endotracheal suctioning catheters. Endobronchial rupture of this catheter has never been reported.
authors.affiliation: Department of Pediatric Surgery and the Neonatal Intensive Care Unit, Hospital Sant Joan de Deu, Univeristy of Barcelona, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: García-Aparicio
authors.forename: Monserrat
authors.initials: M
authors.lastname: Castañón
authors.forename: Xavier
authors.initials: X
authors.lastname: Tarrado
authors.forename: Lucia
authors.initials: L
authors.lastname: Rodríguez
authors.forename: Martí
authors.initials: M
authors.lastname: Iriondo
authors.forename: Luis
authors.initials: L
authors.lastname: Morales
mesh_terms: D001980:Bronchi / Q000601:surgery; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D005547:Foreign Bodies / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation*; D011030:Pneumothorax / Q000209:etiology*; D013396:Suction / Q000009:adverse effects* / Q000295:instrumentation