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Neonatal Endotracheal Tubes and Prevention of Bronchial Intubation

Right main stem bronchial intubation (RMSBI) causes morbidity during neonatal assisted ventilation. Over-distention of the right middle and/or lower lobes of the lung and under-ventilation and/or atelectasis of the remaining lung are the major complications of RMSBI [1,2]. Complications of RMSBI include a) over-inflation of a pulmonary lobe (lobar emphysema), b) pulmonary interstitial emphysema, c) pneumothorax, and/or d) pneumomediastinum [3]. In very preterm infants, pneumothorax correlates with the pathophysiology of intraventricular hemorrhage [4].
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