Therapeutic Selective Recruitment Using a Bronchial Blocker for Refractory Atelectasis in a Child With Tracheomalacia

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Therapeutic selective recruitment using a bronchial blocker can be utilized to manage refractory atelectasis in a pediatric patient with tracheomalacia. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Yukiko Itokazu; Teruo Ishihara; Ayako Hirai; Gaku Kawamura

doi:10.1002/pan.70292

August 21, 2026Pediatric Anesthesia

Therapeutic Selective Recruitment Using a Bronchial Blocker for Refractory Atelectasis in a Child With Tracheomalacia

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Key Points

To describe the therapeutic application of a bronchial blocker for selective lung recruitment in a pediatric patient experiencing refractory atelectasis secondary to tracheomalacia.
Clinical case evaluation of a pediatric patient presenting with severe tracheomalacia and persistent lung collapse.
Implementation of targeted recruitment maneuvers using an endobronchial blocker to selectively deliver positive pressure to the collapsed lung segments.
Selective recruitment via the bronchial blocker successfully achieved re-expansion of collapsed lung tissue refractory to standard mechanical ventilation.
Targeted airway intervention resolved the atelectasis while preventing barotrauma and overdistension in non-target lung regions.

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Implication

Case report demonstrates successful lung recruitment using a bronchial blocker in a pediatric patient with tracheomalacia, suggesting an effective rescue strategy for persistent atelectasis.

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Itokazu et al. (2026) studied this question.

synapsesocial.com/papers/6a8aae207677a34114446e4a https://doi.org/10.1002/pan.70292

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Therapeutic Selective Recruitment Using a Bronchial Blocker for Refractory Atelectasis in a Child With Tracheomalacia

Key Points

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Implication

Discussion

Cite This Study

Therapeutic Selective Recruitment Using a Bronchial Blocker for Refractory Atelectasis in a Child With Tracheomalacia

Key Points

No abstract yet

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Implication

Discussion

Cite This Study

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