Bronchoscopic treatment of pediatric atelectasis: A modified segmental insufflation-surfactant instillation technique.

Matej Šapina, Bojana Olujic, Tihana Nađ, Hrvoje Vinkovic, Zdravka K Dupan, Ines Bartulovic, Krešimir Milas, Martina Kos, Dalibor Divkovic, Željko Zubčić, Ivan Erić

Pediatric pulmonology 2024 Mar

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Atelectasis is a condition characterized by the collapse and nonaeration of lung regions and is considered a manifestation of an underlying disease process. The goal of atelectasis treatment is the restoration of volume loss. In the range of different treatment options, chest physiotherapy is often used as a first-line approach, and some cases require bronchoscopic interventions. In this case series, we describe a modified bronchoscopic treatment procedure using pressure-controlled bronchoscopic segmental insufflation with surfactant application. The proposed approach resulted in significant improvement of lung volume across a range of patients including massive lobar, atypical rounded atelectasis in previously healthy patients, and in a particularly challenging case involving an infant suffering from spinal muscular atrophy type I. The modified segmental insufflation-surfactant instillation technique offers a safe and promising easily implementable treatment of persistent atelectasis caused by different underlying disease processes with positive long-term outcomes. © 2023 Wiley Periodicals LLC.

Citation

Matej Šapina, Bojana Olujic, Tihana Nađ, Hrvoje Vinkovic, Zdravka K Dupan, Ines Bartulovic, Krešimir Milas, Martina Kos, Dalibor Divkovic, Željko Zubčić, Ivan Erić. Bronchoscopic treatment of pediatric atelectasis: A modified segmental insufflation-surfactant instillation technique. Pediatric pulmonology. 2024 Mar;59(3):625-631