Often the acutely ill neonate requires endoscopic intervention for deteriorating respiratory status in spite of vigorous pulmonary toilet. Although fiberoptic bronchoscopy has been suggested at times, its mechanical airway obstruction would preclude its use in the very sick child. Rigid endoscopy using a ventilating bronchoscope may be safely and effectively used in the neonatal unit for bedside therapy, avoiding the risk of transfer to and from an operating room. Five case studies are presented outlining the indications and utility of this procedure.
RahKSalzbergABoyanPGreenfieldL. Respiratory acidosis with small Storz-Hopkins bronchoscopes, occurrence and management. Ann Thorac Surg1979; 27: 197–202.
6.
GallagherMMullerB. Tension pneumothorax during pediatric bronchoscopy. Anesthesiology1981; 55: 685–6.
7.
TsaiSHCohenSSTengerEPK. Bronchial perforation as a complication of bronchoscopy. Am Rev Tuberc1958; 78: 106–10.
8.
CredleWFSmiddyJFElliotRC. Complications of fiberoptic bronchoscopy. Chest1979; 69: 747–51.
9.
GrylackLAndersonK. Diagnosis and treatment of traumatic granuloma in the tracheobronchial tree of a newborn with history of chronic intubation. J Pediatr Surg1984; 19: 200–1.
