PI-CHUAN FANTeng R.-J.Chen J.-C.CHI-HSIANG HUANGYau K.-I.T.2020-12-212020-12-2119960929-6646https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030483399&partnerID=40&md5=713e723302c5fcaf735f104036c2e4c6https://scholars.lib.ntu.edu.tw/handle/123456789/529238Until recently, rigid bronchoscopy was considered too risky for premature infants. We report a 658 g infant with life-threatening mediastinal shift due to right pulmonary atelectasis. Rigid bronchoscopy revealed tenacious mucous plugs in the right main bronchus. The collapsed lung was successfully reinflated after bronchial lavage with a rigid bronchoscope, with the help of intermittent high-frequency jet ventilation (HFJV). The infant's mediastinal shift was reversed and the vital signs became stable. In our experience, rigid bronchoscopy combined with HFJV is a valuable diagnostic and therapeutic procedure for very small premature infants.atelectasis; bronchial lavage; high-frequency jet ventilation; rigid bronchoscopy[SDGs]SDG3article; atelectasis; bronchoscopy; case report; diagnostic value; female; human; jet ventilation; lung lavage; newborn; prematurity; risk; very low birth weight; Atelectasis; Bronchoalveolar Lavage; Bronchoscopy; Female; High-Frequency Jet Ventilation; Humans; Infant, Low Birth Weight; Infant, Newborn; Infant, Premature; Mediastinal Diseasesjournal article90008122-s2.0-0030483399