title: Anesthetic Management of an Extremely Premature, Extremely Low-Birth-Weight Infant Undergoing Bronchoscopy for Removal of an Aspirated Foreign Body.
abstract: We present a case of an ex-28-week, extremely low-birth-weight infant who was transferred to our institution for bronchoscopically assisted removal of an aspirated foreign body. This case presented several challenges because of the patient's extreme prematurity as well as the need for repeated tracheal extubations and reintubations during the procedure to accommodate surgical instruments in the patient's airway. We discuss the respiratory physiology, common comorbidities, and management of aspirated foreign bodies in the premature infant and emphasize the importance of clear communication in the operating room between the multidisciplinary team of physicians involved in this patient's care.
authors.affiliation: From the *Department of Anesthesiology, New York University Langone Medical Center, New York, New York; and †Department of Pediatrics, New York University Langone Medical Center, New York, New York.
authors.forename: James
authors.initials: J
authors.lastname: Leonard
authors.forename: Anna
authors.initials: A
authors.lastname: Jankowska
authors.forename: Michael
authors.initials: M
authors.lastname: Baik
authors.forename: Mikhail
authors.initials: M
authors.lastname: Kazachkov
mesh_terms: D000402:Airway Obstruction / Q000601:surgery; D000777:Anesthetics; D001980:Bronchi; D001999:Bronchoscopy / Q000379:methods*; D005547:Foreign Bodies / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000379:methods*; D008297:Male; D008738:Methyl Ethers; D000077149:Sevoflurane
chemical_list: D000777:Anesthetics; D008738:Methyl Ethers; D000077149:Sevoflurane