Airway

[size=20px]A 500-gram, 23-week premature baby is born and immediately intubated. Multiple attempts at intubation were performed by individuals of varying level of experience. An airway was ultimately established with initial bloody secretions in the endotracheal tube. Chest radiographs immediately following intubation and four hours later are shown below. [/size] Immediately following intubation [indent]4 hours after intubation [/indent] The child develops a large right pneumothorax shown below. The child is transitioned to the high frequency oscillator and a chest tube is placed. Despite these interventions the lung remains deflated and there is a large continu…

A 500-gram, 23-week premature baby is born and immediately intubated. There was some difficulty with intubation, but the patient remained hemodynamically stable. Chest radiographs immediately following intubation and four hours later are shown below. [center]postintubation CXR 1 [/center] [center]postintubation (after 4 hours) CXR 2 [/center] Over the next 24 hours, patient remained clinically stable on a high frequency oscillator and the following chestradiograph is obtained, [center]postintubation (after 24 hours) CXR 3 [/center] [size=20px]The best next step in management of this infant with pneumomediastinum is A continued observation.…