title: Selective bronchial intubation in a preterm infant with congenital cystic adenomatoid malformation and pulmonary air leak syndrome.
abstract: A preterm infant with congenital cystic adenomatoid malformation (CCAM) who developed a right-sided pulmonary air leak syndrome (pulmonary interstitial emphysema and bronchopleural fistula) following CCAM resection is reported. The pulmonary air leak syndrome was successfully ameliorated by intubating the right mainstem bronchus using a modified endotracheal tube that allowed selective ventilation of the left lung. The procedure was used successfully as rescue treatment to control the pulmonary air leak and to confirm the functional adequacy of the left lung prior to definitive operative surgery.
authors: Department of Neonatology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
authors: Kiran Kumar
authors: KK
authors: Balegar V
authors: Peter A
authors: PA
authors: Barr
authors: James Charles
authors: JC
authors: McCauley
authors: Gordon
authors: G
authors: Thomas
mesh_terms: D001983:Bronchial Fistula / Q000209:etiology / Q000628:therapy*; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D007442:Intubation, Intratracheal; D008297:Male; D010995:Pleural Diseases / Q000209:etiology / Q000628:therapy*; D011183:Postoperative Complications / Q000628:therapy*; D011656:Pulmonary Emphysema / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D013577:Syndrome