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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Isolated severe bilateral bronchomalacia.

Bhaskar Saikia1, Pradeep Kumar Sharma, Rachna Sharma

  • 1Pediatrics Intensive Care Unit, B L Kapur Super Speciality Hospital, New Delhi, India.

Indian Journal of Pediatrics
|May 30, 2013
PubMed
Summary

Persistent infant wheezing may signal airway malacia, an uncommon condition. This case highlights managing severe bilateral bronchomalacia with tracheostomy and positive pressure ventilation.

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Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine

Background:

  • Airway malacia, including bronchomalacia, is an uncommon condition often presenting with symptoms mimicking common respiratory illnesses in infants.
  • Persistent infantile wheeze warrants evaluation for underlying airway malacia.

Observation:

  • A case of isolated severe bilateral bronchomalacia in an infant is presented.
  • The condition mimicked more common pediatric respiratory ailments.

Findings:

  • Successful management of severe bilateral bronchomalacia was achieved using tracheostomy.
  • Continuous positive pressure ventilation was integral to the treatment strategy.

Implications:

  • This case underscores the importance of considering airway malacia in infants with persistent wheeze.
  • Tracheostomy and positive pressure ventilation represent viable management options for severe bronchomalacia.
  • Early diagnosis and intervention are crucial for improving outcomes in pediatric airway malacia.