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

Hong, Yoo Rha

doi:10.5385/jksn.2012.19.3.154

J Korean Soc Neonatol

2012

DOI: 10.5385/jksn.2012.19.3.154

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

Yoo Rha Hong

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Cited by 2 publications

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A Case of Congenital Bronchial Defect Resulting in Massive Posterior Pneumomediastinum: First Case Report

2015

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Bronchial defects in neonates are known to occur very rarely as a complication of mechanical ventilation or intubation. This causes persistent air leakage that may form massive pneumomediastinum or pneumothorax, leading to cardiac tamponade or cardiorespiratory deterioration. Early diagnosis and treatment of bronchial defects are essential, as they can be accompanied by underlying severe lung parenchymal diseases, especially in preterm infants. We encountered an extremely low birth weight infant with an air cyst cavity in the posterior mediastinum that displaced the heart anteriorly, thereby causing cardiopulmonary deterioration. During exploratory-thoracotomy, after division of the air cyst wall (mediastinal pleura), we found a small bronchial defect in the posterior side of the right main bronchus. The patient had shown respiratory distress syndrome at birth, and she was managed by constant low positive pressure ventilation using a T-piece resuscitator after gentle intubation. As the peak inspiratory pressure was maintained low throughout and because intubation was successful at the first attempt without any difficulty, we think that the cause of the defect was not barotrauma or airway injury during intubation. The fact that the margin of the defect was very clear also suggested a congenital origin. To our knowledge, this is the first case of congenital bronchial defect in English literature.

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A Case of Congenital Bronchial Defect Resulting in Massive Posterior Pneumomediastinum: First Case Report

2015

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Infant Conditions, Damage Morbidity and Treatment Recovery Rate using Korean National Hospital Discharge Injury Survey

Park¹,

Jeong²,

Shin³

et al. 2022

J Health Info Stat

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Objectives: The purpose of this study was to investigate the morbidity and treatment recovery rates for the conditions and injuries of infants who were hospitalized and treated.Methods: The analysis was based on infants under the age of 1 from the 2nd-15th data (patients discharged from 2006 to 2018) of the Korea Centers for Disease Control and Prevention’s ‘In-Depth Discharge Injury Survey’.Results: As a result of the study, it was confirmed that most infants admitted to the hospital from 2006 to 2018 improved and were discharged with an overall improvement rate of 98.47%. In addition, the morbidity rate of infants admitted to hospitals with specific conditions originating before and after birth showed a steady decrease, but increased around 2018, and the morbidity rate of infants hospitalized due to injury showed a gradual decrease, and showed a sharp decline after 2015. It was found that the overall infant condition improvement rate increased and the injury morbidity rate was rapidly decreasing.Conclusions: If systems and policies are established to provide medical services to mothers and newborns who are in medically vulnerable groups, as well as to improve the high-risk maternal emergency system and high-risk neonatal intensive care unit, it is possible to reduce the risk of diseases and unintentional damage that can occur before and after childbirth. Therefore, it is suggested that the morbidity rate can be improved.

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

Cited by 2 publications

References 10 publications

A Case of Congenital Bronchial Defect Resulting in Massive Posterior Pneumomediastinum: First Case Report

A Case of Congenital Bronchial Defect Resulting in Massive Posterior Pneumomediastinum: First Case Report

Infant Conditions, Damage Morbidity and Treatment Recovery Rate using Korean National Hospital Discharge Injury Survey

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