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Updated: Aug 11, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Primary repair of a neonatal bronchial intubation injury
Ulysses McCann1, Kara Kane, Linda Nicolette
1Division of Pediatric Surgery, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
Insights
Iatrogenic tracheobronchial injuries can occur in premature infants after endotracheal intubation. This case report details the successful surgical repair of a proximal bronchial perforation in a neonate.
Area of Science:
- Neonatal surgery
- Pediatric respiratory medicine
- Surgical critical care
Background:
- Premature infants undergoing mechanical ventilation are at risk for iatrogenic tracheobronchial injuries.
- These injuries, though rare, present diagnostic challenges and are linked to adverse outcomes.
Observation:
- A neonate developed a proximal bronchial perforation following endotracheal intubation.
- The injury was identified and managed surgically.
Findings:
- Primary surgical repair was successfully performed for the proximal bronchial perforation.
- This intervention led to a positive outcome for the neonate.
Implications:
- Prompt diagnosis and surgical intervention are crucial for managing iatrogenic tracheobronchial injuries in neonates.
- Surgical repair offers a viable treatment option, potentially improving outcomes for affected infants.
Abstract:
Premature infants who require endotracheal intubation may be subject to iatrogenic tracheobronchial injuries. Such injuries are relatively rare, can be difficult to diagnose, and are often associated with poor outcomes. We report our experience with diagnosing and successfully treating a proximal bronchial perforation in a neonate by primary surgical repair.
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