A case of Iatrogenic Esophageal Perforation in a Premature Infant.
- Author:
Eun Kyung LEE
1
;
Eun Jung PARK
;
So Hee CHUNG
;
Jung Sim KIM
;
Yun Sil CHANG
;
Won Soon PARK
Author Information
1. Department of Pediatrics, College of Medicine, Sungkyunkwan University, Samsung Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Esophageal perforation;
Premature infant
- MeSH:
Adult;
Catheters;
Child;
Esophageal Perforation*;
Esophagus;
Humans;
Infant;
Infant, Newborn;
Infant, Premature*;
Intensive Care Units, Neonatal;
Intubation;
Laryngoscopy;
Mediastinal Emphysema;
Pharynx;
Rubber;
Suction;
Vocal Cords
- From:Journal of the Korean Society of Neonatology
1997;4(1):77-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Esophageal perforation, a well-known entity in adults, is relatively uncommon in infants and children. Aggressive management in neonatal intensive care units have led to increased survival of premature infants and very sick babies. But it have led to unusual complication like iatrogenic perforation. Perforation of the esophagus or pharynx may occur during replacement of endotracheal or nasogastric tubes in the newborn infant. We recently experienced a case of esophageal perforation presenting with pneumomediastinum in premature infant, which was induced by gastric tube insertion and managed medically. We think that prevention is more important. So, careful visualization of vocal cord during intubation, gentle laryngoscopy, and the use of a soft rubber catheter for oral suction are needed.
