Bronchoscopic findings in children with congenital heart disease

Kockar, Tuba; Gündüz, Mehmet; Öktem, Sedat; Gundogdu, Semra; Demirel, Fatma; Tastekin, Ayhan; Kamalı, Hacer

doi:10.1183/13993003.congress-2015.pa1355

Cited by 2 publications

(3 citation statements)

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“…These indications have been reported in several other pediatric series, as well as previous reports on cardiac patients. 3 , 5 – 7 Airway anomalies could be detected successfully in 69% of procedures with airway malacias being most common in our study. Lee et al reported a diagnostic yield of 92% in their series of 52 cardiac patients with airway obstruction while Chapotte et al reported 71% diagnostic yield.…”

Section: Discussionmentioning

confidence: 49%

“…Congenital heart disease is often associated with airway anomalies due to close anatomic proximity of cardiac and respiratory structures. 1 – 3 Flexible bronchoscopy allows the anatomic and functional assessment of the airway in patients with CHD at the bedside, before or after cardiac repair. Robotin et al 4 employed FFB in all patients suspected to have airway obstruction as first-line tool and found it to be 100% accurate in establishing diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Flexible Fiber-optic Bronchoscopy-directed Interventions in Children with Congenital Heart Diseases

Agarwal¹,

Joshi²,

Chhawchharia³

2020

Indian Journal of Critical Care Medicine

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Objective In children, pulmonary and cardiac diseases are closely associated, and their integrated evaluation is important. Flexible fiber-optic bronchoscopy (FFB) can be used for both diagnostic and therapeutic purposes in pediatric cardiac intensive care units (PCICU). The objective of this study was to evaluate the utility of FFB in children with congenital heart disease (CHD). Materials and methods A retrospective, descriptive study was conducted at a tertiary care center in pediatric patients who underwent FFB in PCICU over a period of 6 years (2012–2017). Results Total 71 bronchoscopies were done in 58 patients with CHD with median age and weight of 2.5 months and 3.4 kg, respectively. Total of 20 different cardiac lesions were present among patients who underwent FFB. While 38 (53.5%) and 30 (42.3%) procedures were performed in pre-op and postoperative patients, respectively, 3 intraoperative bronchoscopies were also performed. The main indications for FFB were persistent atelectasis (42/71), prolonged oxygen requirement (13/71), stridor (8/71), and suspected airway anomaly (6/71). Tracheobronchitis was the commonest bronchoscopy finding (51/71, 71.8%) followed by tracheobronchomalacia (27/71, 38.3%). Cause of stridor detected in 7/8 cases. Associated preoperative and postoperative respiratory complications were detected and necessary interventions were done. These included slide tracheoplasty (5/58), tracheostomy (5/58), antibiotic change based on bronchoalveolar lavage (BAL) cultures (11/71), and continued positive pressure ventilation (4/71). Nonconsequential complications were transient hypoxemia (10/71), bleeding (2/71), and transient bradycardia (1/71). Conclusion Bedside FFB is a safe and a valuable diagnostic tool that also helps in guiding interventions in children with cardiac diseases. How to cite this article Sachdev A, Chhawchharia R, Gupta D, Gupta N, Joshi R, Agarwal N. Flexible Fiber-optic Bronchoscopy-directed Interventions in Children with Congenital Heart Diseases. Indian J Crit Care Med 2020;24(5):340–343.

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Flexible Fiber-optic Bronchoscopy-directed Interventions in Children with Congenital Heart Diseases

Agarwal¹,

Joshi²,

Chhawchharia³

2020

Indian Journal of Critical Care Medicine

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“…Children with cardiac anomalies tend to have higher incidence of airway anomalies. 8 Few authors from the developed world have looked specifically at this population of children and found that FB requirement may be higher in this population. 9 – 11 This month, in our journal, we have Sachdev et al reporting their experience of FB in this patient population.…”

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confidence: 99%

Can Airway Abnormalities be the Elephant in the Room in Children with Congenital Heart Disease?

Parameswaran

2020

Indian Journal of Critical Care Medicine

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Bronchoscopic findings in children with congenital heart disease

Cited by 2 publications

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Flexible Fiber-optic Bronchoscopy-directed Interventions in Children with Congenital Heart Diseases

Flexible Fiber-optic Bronchoscopy-directed Interventions in Children with Congenital Heart Diseases

Can Airway Abnormalities be the Elephant in the Room in Children with Congenital Heart Disease?

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