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

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

Resultado de la investigación: Contribución a una revistaArtículo

1 Cita (Scopus)

Resumen

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.

Título traducido de la contribuciónHigh flow bronchopleural fistula effective bronchoscopic closure in a patient with acute respiratory distress syndrome
Idioma originalEspañol
Páginas (desde-hasta)501-505
Número de páginas5
PublicaciónRevista Chilena de Pediatria
Volumen77
N.º5
EstadoPublicada - oct 2006

Palabras clave

  • Bronchopleural fistula
  • Bronchoscopy
  • Endoscopic closure
  • Pulmonary abscess

Áreas temáticas de ASJC Scopus

  • Pediatría, perinaltología y salud infantil

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