Cierre efectivo por vía broncoscópica de fístula broncopleural de alto flujo en paciente con síndrome de distress respiratorio agudo grave

Translated title of the contribution: High flow bronchopleural fistula effective bronchoscopic closure in a patient with acute respiratory distress syndrome

Francisco Prado A., Marcela Linares P., Alejandro Donoso F., Pablo Cruces R., Patricio Herrera O., Ilse Contreras E.

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: Bronchopleural fistula (BPF) secondary to surgery or infections implies a therapeutic challenge, either expectant or surgical treatment. Nowadays, the endoscopic closure procedure is performed more often. Objective: Case-report of a child presenting a successful endoscopic closure of a bronchopleural fistula during acute respiratory distress syndrome (ARDS). Case-report: A 14 year-old boy with previous left lower lobectomy due to chronic bronchiectasis, who developed a central BPF after transthoracic drainage of a lingular abscess, associated to mechanical ventilation failure, septic shock and ARDS. The BPF was sealed through bronchoscopy with Tetracycline and Gelfoam, with great decrease of BPF high flow until definitive closure 3 weeks after the procedure. Conclusion: BPF development after pulmonary abscess drainage could be effectively treated with bronchoscopic closure during ARDS in a critically ill child, avoiding higher surgical risks.

Translated title of the contributionHigh flow bronchopleural fistula effective bronchoscopic closure in a patient with acute respiratory distress syndrome
Original languageSpanish
Pages (from-to)501-505
Number of pages5
JournalRevista Chilena de Pediatria
Volume77
Issue number5
Publication statusPublished - Oct 2006

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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