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Selective fiberoptic left main‐stem intubation for severe unilateral barotrauma in a 24‐week premature infant

A 24‐week premature infant developed severe right‐sided pulmonary barotrauma secondary to mechanical ventilation for respiratory distress syndrome (RDS). High‐frequency oscillatory ventilation and permissive hypercapnia were initiated. A chest tube was placed to relieve a pneumothorax, and a catheter was inserted into an air‐filled cyst for drainage. These maneuvers failed to improve the child's respiratory status.