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Successful Surgical Management of Airway Perforation in Preterm Infants

Jason Gien1, Richard J Ing2, Mark D Twite2

  • 1Section of Neonatology, Department of Pediatrics, Children's Hospital Colorado and the University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA 80045.

Journal of Pediatric Surgery Case Reports
|May 3, 2014
PubMed

Insights

Traumatic airway perforation in preterm infants is rare but serious. Surgical repair using novel grafts and cardiopulmonary bypass offers a successful treatment option for survivors.

Area of Science:

  • Pediatric Surgery
  • Neonatology
  • Critical Care Medicine

Background:

  • Traumatic airway perforation during endotracheal intubation is a rare but fatal complication in preterm infants.
  • Survivors of initial injury face limited therapeutic options, including conservative or surgical management.

Purpose of the Study:

  • To describe successful surgical management of airway perforation in preterm infants.
  • To highlight the use of novel graft materials and cardiopulmonary bypass in repair.

Main Methods:

  • Surgical repair of airway perforation in three preterm infants.
  • Utilization of novel graft material and cardiopulmonary bypass.
  • Avoidance of lung resection during repair.

Main Results:

  • Successful surgical repair was achieved in all three cases without lung resection.
  • The use of novel grafts and cardiopulmonary bypass facilitated successful repair.
  • Patients survived the initial injury and subsequent surgical intervention.

Conclusions:

  • Early identification and surgical management are crucial for preterm infants surviving airway perforation.
  • Cardiopulmonary bypass, when feasible, is a valuable tool for facilitating successful surgical repair.
  • This approach offers a viable alternative to conservative management, improving outcomes.

Keywords:
Endotracheal TubeIatrogenic Airway PerforationPreterm Infants

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