{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:10:19Z","timestamp":1756379419896,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,10,17]]},"abstract":"<jats:p>We describe a healthy 7-month-old female infant who developed spontaneous pneumomediastinum (PM) and subcutaneous emphysema after traumatic nasopharyngeal suctioning (NPS) while hospitalised for respiratory syncytial virus bronchiolitis. To the best of our knowledge, this is the first reported case of pulmonary air leak syndrome associated with traumatic NPS in a healthy infant affected by bronchiolitis. Although NPS is currently the mainstay of treatment in patients admitted with bronchiolitis in the USA, currently there are minimal data regarding the safety and effectiveness of the procedure in patients with bronchiolitis. Physicians should consider the possibility of pulmonary air leak as a complication of NPS and have high suspicion in a decompensating infant after suctioning who is afflicted with bronchiolitis.<\/jats:p>","DOI":"10.1136\/bcr-2016-217419","type":"journal-article","created":{"date-parts":[[2016,10,28]],"date-time":"2016-10-28T11:13:00Z","timestamp":1477653180000},"page":"bcr2016217419","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Pulmonary air leak syndrome associated with traumatic nasopharyngeal suctioning"],"prefix":"10.1136","volume":"2016","author":[{"given":"Maria","family":"Chitty Lopez","sequence":"first","affiliation":[{"name":"Department of Pediatrics, State University of New York Downstate Medical Center, Brooklyn, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elza","family":"Pollak-Christian","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, State University of New York Downstate Medical Center, Brooklyn, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Keenaghan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, State University of New York Downstate Medical Center, Brooklyn, New York, USA"},{"name":"Department of Pediatrics, King's County Hospital Center, Brooklyn, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,10,28]]},"reference":[{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-1036"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3250"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2742"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1413456"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.5","first-page":"729","article-title":"Pneumothorax and other forms of pulmonary air leak in newborns","volume":"120","author":"Madansky","year":"1979","journal-title":"Am Rev Respir Dis"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.6","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr2353w"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.7","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.36"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.8","doi-asserted-by":"crossref","unstructured":"Knox T . \u201cPractical aspects of oronasopharyngeal suction in children: Tony Knox explains the application of an invasive procedure to relieve diminished oxygenation that entails risk and requires skill and sensitivity\u201d. Nursing Children and Young People Sept. 2011: 14+. Popular Magazines. Web. 29 July 2016.","DOI":"10.7748\/ncyp2011.09.23.7.14.c8681"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.9","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2000.9332"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.10","first-page":"313","article-title":"Pneumothorax: a complication of deep endotracheal tube suction: report of 3 cases","volume":"48","author":"Jaw","year":"1991","journal-title":"Zhonghua Yi Xue Za Zhi (Taipei)"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.11","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1542\/peds.82.5.746","article-title":"Shallow versus deep endotracheal suctioning in young rabbits: pathologic effects on the tracheobronchial wall","volume":"82","author":"Bailey","year":"1988","journal-title":"Pediatrics"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.12","first-page":"28","article-title":"Nasopharyngeal suction study reveals knowledge deficit","volume":"91","author":"MacMillan","year":"1994","journal-title":"Nurs Times"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.4.5779.86"},{"key":"2025082803283067000_2016.oct28_3.bcr2016217419.14","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-14-208"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-217419","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:28:39Z","timestamp":1756376919000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-217419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,28]]},"references-count":14,"alternative-id":["10.1136\/bcr-2016-217419"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-217419","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,10,28]]}}}