Unilateral lung intubation for pulmonary air leak syndrome in neonates: A case series and a review of the literature

Leon J. Joseph, Ruben Bromiker, Ori Toker, Michael S. Schimmel, Shmuel Goldberg, Elie Picard*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Air leak syndrome represents a common set of complications of ventilated premature neonates and includes pneumothorax, pneumomediastinum, pulmonary interstitial emphysema, and pneumatocele. Unilateral intubation is an infrequently utilized treatment option. We report our experience of three cases of air leak syndrome in neonates, each treated with unilateral intubation, including two cases of recalcitrant pneumothorax. A review of the literature of similar neonatal cases is presented. In view of our experience and the review of the literature, we suggest that unilateral intubation is an efficient and relatively safe therapy in cases of neonatal air leak syndrome. It is also suggested that appropriate treatment duration should be at least 48 hours.

Original languageEnglish
Pages (from-to)151-155
Number of pages5
JournalAmerican Journal of Perinatology
Volume28
Issue number2
DOIs
StatePublished - 2011
Externally publishedYes

Keywords

  • Unilateral intubation
  • pneumatocele
  • pneumothorax

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