| Ultrathin fiberoptic bronchoscopy for airway toilet in neonatal pulmonary atelectasis. | |
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MedLine Citation:
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PMID: 1589313 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pulmonary atelectasis is often seen in young infants with respiratory disease and it may contribute to increased ventilatory requirements and the development of chronic lung disease such as bronchopulmonary dysplasia. Standard management consists of postural drainage (chest physiotherapy and suction) and selective intubation with suction of a major bronchus. This report describes a new approach consisting of removal of bronchial secretions under direct vision via ultrathin fiberoptic bronchoscopy, without interruption of mechanical ventilation. The procedure was performed safely in ten cases and resulted in significant rapid improvement in the infants' respiratory condition and in complete resolution of the atelectasis in eight cases. In two infants, partial improvement was seen. No adverse effects of the procedure were encountered. It is concluded that this approach is a safe and potentially valuable therapeutic maneuver in the management of pulmonary atelectasis in sick intubated neonates. |
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Authors:
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E S Shinwell |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric pulmonology Volume: 13 ISSN: 8755-6863 ISO Abbreviation: Pediatr. Pulmonol. Publication Date: 1992 May |
Date Detail:
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Created Date: 1992-06-23 Completed Date: 1992-06-23 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 8510590 Medline TA: Pediatr Pulmonol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 48-9 Citation Subset: IM |
Affiliation:
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Division of Neonatology, Soroka Medical Center, Beersheva, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bronchoscopy
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methods* Fiber Optic Technology Humans Infant, Newborn Pilot Projects Pulmonary Atelectasis / therapy* Suction / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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