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Extremely Preterm Neonate with a Tracheobronchial Foreign Body: A Case Report
Sreekanth Viswanathan1, Yahdira Rodriguez Prado1, Caroline Chua1
1Pediatrics, Nemours Children's Hospital, Orlando, USA.
Cureus
|May 16, 2020
Summary
A preterm infant experienced a tracheal foreign body, identified as an intubation stylet sheath. This rare complication was successfully removed via endoscopy, highlighting potential risks during neonatal care.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Medical Device Complications
Background:
- Foreign body aspiration in neonates is uncommon.
- Intubation is a common procedure in preterm infants.
- Complications can arise from airway instrumentation.
Observation:
- A 27-week gestational age preterm infant presented with a foreign body in the trachea.
- Chest X-rays and CT scans identified the object extending into the right lower lobe.
- The foreign body was located above the tracheal bifurcation.
Findings:
- Endoscopic examination revealed the foreign body to be a plastic sheath from an intubation stylet.
- The object was successfully removed using endoscopic techniques.
- This represents a rare complication of neonatal intubation.
Implications:
- Highlights the importance of vigilance for foreign body aspiration in preterm infants.
- Underscores potential risks associated with intubation stylets.
- Suggests the need for careful equipment inspection and procedural review in neonatal intensive care units.
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