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June 1974

A Bedside Washout Technique for Atelectasis in Infants

Author Affiliations

From the departments of pediatrics and divisions of anesthesiology (Dr. Galvis), pediatric surgery (Dr. White), and pediatric radiology (Dr. Oh), Johns Hopkins University School of Medicine, Baltimore.

Am J Dis Child. 1974;127(6):824-827. doi:10.1001/archpedi.1974.02110250050007

Fourteen infants were in significant respiratory distress from collapse of a lung, lobar atelectasis, or diffuse bilateral atelectasis. When standard therapy proved ineffective, tracheobronchial washouts and aspirations were performed at the bedside using a nontraumatic and easily directed angiographic catheter. A total of 27 procedures were performed on the 14 infants. Considerable improvement resulted in all cases. No complications due to the technique occurred, although the procedure was repeated as frequently as every 12 hours. The efficacy, ease, and reliability of this procedure recommend it in the care of infants with respiratory distress due to atelectasis.