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Updated: Aug 9, 2026
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A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
Published on: August 30, 2019
Acquired bronchial injury in neonates
1Department of Otolaryngology, University of Toronto, Ont., Canada.
International Journal of Pediatric Otorhinolaryngology
|December 1, 1987
Summary
Modern neonatology
Area of Science:
- Neonatal medicine
- Pediatric respiratory care
- Medical device complications
Background:
- Prolonged intubation and respiratory support are common in neonatal intensive care.
- These interventions carry risks of tracheobronchial injury if not managed properly.
- Injuries can range from minor abrasions to severe conditions like bronchial stenosis.
Purpose of the Study:
- To highlight the potential for tracheobronchial injury in neonates.
- To emphasize the link between endotracheal tube and suction catheter management and these injuries.
- To present examples of preventable tracheobronchial lesions.
Main Methods:
- Review of clinical cases and literature on neonatal tracheobronchial complications.
- Analysis of injury types associated with endotracheal tubes and suction catheters.
- Presentation of illustrative examples of lesions.
Main Results:
- Inappropriate management of endotracheal tubes and suction catheters can cause significant tracheobronchial injury.
- Observed injuries include abrasions, granulomas, polyps, bronchial stenosis, and acquired bronchial atresia.
- These adverse events are largely preventable with meticulous patient care.
Conclusions:
- Careful management of airway devices is crucial in neonatal respiratory support.
- Awareness and adherence to best practices can minimize tracheobronchial complications.
- Preventable iatrogenic injuries underscore the need for vigilant neonatal care.
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