{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T08:12:21Z","timestamp":1788595941564,"version":"build-2803163510"},"reference-count":7,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,26]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>Congenital lobar emphysema (CLE) presents unique anaesthetic challenges due to the risk of worsening hyperinflation with positive pressure ventilation. We describe an infant who developed rapid desaturation during induction for thoracoscopic lobectomy. In the absence of a suitable bronchial blocker or time for fibreoptic guidance, lung isolation was achieved using a rigid bronchoscope for immediate left lung ventilation, followed by bougie-assisted endobronchial intubation. This manoeuvre restored oxygenation and enabled safe surgical completion. The case highlights the life-saving potential of rigid bronchoscope-guided intubation with temporary bronchoscope ventilation in airway emergencies involving CLE.<\/jats:p>","DOI":"10.1136\/bcr-2025-271061","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:35:16Z","timestamp":1788593716000},"page":"e271061","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Rigid bronchoscopic bridge to lung isolation in an airway emergency in congenital lobar emphysema"],"prefix":"10.1136","volume":"19","author":[{"given":"Nishant","family":"Patel","sequence":"first","affiliation":[{"name":"Anaesthesia, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ummul Fabeena","family":"Mangaladan","sequence":"additional","affiliation":[{"name":"Anaesthesia, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushmita","family":"Bairagi","sequence":"additional","affiliation":[{"name":"Anaesthesia, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishesh","family":"Jain","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"2026090500501102000_19.9.e271061.1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.4103\/0972-5229.148648","article-title":"Congenital lobar emphysema: A modified approach to anesthetic management","volume":"19","author":"Nandihalli","year":"2015","journal-title":"Indian J Crit Care Med"},{"key":"2026090500501102000_19.9.e271061.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2006.02.006"},{"key":"2026090500501102000_19.9.e271061.3","doi-asserted-by":"crossref","first-page":"106","DOI":"10.4103\/0970-9185.76662","article-title":"Anaesthetic management of a case of congenital lobar emphysema","volume":"27","author":"Gogia","year":"2011","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"2026090500501102000_19.9.e271061.4","first-page":"11","article-title":"Congenital lobar emphysema: an anaesthetic challenge","volume":"5","author":"Chhabra","year":"2019","journal-title":"J Anaesth Crit Care Case Rep"},{"key":"2026090500501102000_19.9.e271061.5","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-39589"},{"key":"2026090500501102000_19.9.e271061.6","doi-asserted-by":"crossref","first-page":"203","DOI":"10.4103\/0259-1162.108326","article-title":"Congenital lobar emphysema: Challenges in diagnosis and ventilation","volume":"6","author":"Prabhu","year":"2012","journal-title":"Anesth Essays Res"},{"key":"2026090500501102000_19.9.e271061.7","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1111\/pan.14769","article-title":"An innovative technique for lung isolation in pediatric patient: Another arrow in the quiver!","volume":"34","author":"Patel","year":"2024","journal-title":"Paediatr Anaesth"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-271061","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:50:19Z","timestamp":1788594619000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-271061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":7,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,4]]},"published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1136\/bcr-2025-271061"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-271061","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]}}}