Academic Journal
Rigid bronchoscopic bridge to lung isolation in an airway emergency in congenital lobar emphysema.
| Τίτλος: | Rigid bronchoscopic bridge to lung isolation in an airway emergency in congenital lobar emphysema. |
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| Συγγραφείς: | Patel N; Anaesthesia, AIIMS, New Delhi, India., Mangaladan UF; Anaesthesia, AIIMS, New Delhi, India., Bairagi S; Anaesthesia, AIIMS, New Delhi, India sushmita.bairagi91@gmail.com., Jain V; Paediatric Surgery, AIIMS, New Delhi, India. |
| Πηγή: | BMJ case reports [BMJ Case Rep] 2026 Sep 04; Vol. 19 (9). Date of Electronic Publication: 2026 Sep 04. |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BMJ Pub. Group |
| Ιατρικοί όροι (MeSH): | Pulmonary Emphysema*/surgery , Pulmonary Emphysema*/congenital , Bronchoscopy*/methods , Intubation, Intratracheal*/methods, Pneumonectomy/methods ; Thoracoscopy/methods ; Humans ; Infant ; Male |
| Περίληψη: | Congenital lobar emphysema (CLE) presents unique anaesthetic challenges due to the risk of worsening hyperinflation with positive pressure ventilation. We describe an infant who developed rapid desaturation during induction for thoracoscopic lobectomy. In the absence of a suitable bronchial blocker or time for fibreoptic guidance, lung isolation was achieved using a rigid bronchoscope for immediate left lung ventilation, followed by bougie-assisted endobronchial intubation. This manoeuvre restored oxygenation and enabled safe surgical completion. The case highlights the life-saving potential of rigid bronchoscope-guided intubation with temporary bronchoscope ventilation in airway emergencies involving CLE. (© BMJ Publishing Group Limited 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| Competing Interests: | Competing interests: None declared. |
| Contributed Indexing: | Keywords: Anaesthesia; Paediatric Surgery; Pulmonary emphysema |
| SCR Disease Name: | Congenital lobar emphysema |
| Entry Date(s): | Date Created: 20260905 Date Completed: 20260905 Latest Revision: 20260911 |
| Update Code: | 20260911 |
| DOI: | 10.1136/bcr-2025-271061 |
| PMID: | 42700980 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1757-790X |
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| DOI: | 10.1136/bcr-2025-271061 |