• Paul Scolieri, Nithin D Adappa, and James M Coticchia.
• Rainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland, OH, USA.
• Pediatr Emerg Care. 2004 Jun 1;20(6):384-6.

ObjectiveTo describe the potential uses of a rigid bronchoscopy in pediatric patients, as well as explaining the advantage of a rigid bronchoscopy versus a flexible bronchoscopy in pediatric patients with acute lung collapse.DesignCase report.SettingPediatric intensive care unit.PatientA 16-month-old male infant with a 5-day history of cough, congestion, and "wheezing" that progressively worsened.InterventionsA rigid bronchoscopy.Measurements And Main ResultsThe evolution of the patient's acute lobar collapse to his final discharge is described. This includes the initial presentation, primary methods employed to improve the patient's condition, the use of a rigid bronchoscopy in removing a mucous plug, and the patient's results up to his final discharge.ConclusionThis report demonstrates the value of rigid bronchoscopy in pediatric patients with severe atelectasis and pneumonia. Although bronchoscopy may not be indicated as an initial procedure to remove respiratory tract secretions, it may provide a beneficial option in cases where less invasive methods prove ineffective in removing secretions and mucous plugs.

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