Fibrobroncoscopia pediátrica. Análisis de una década

Pérez-Ruíz, Estela; Pérez‐Frías, Javier; Martínez-González, B.; Martínez-Arán, T.; Milano-Manso, Guillermo; Martínez-Valverde, A.

doi:10.1016/s1695-4033(01)77714-4

Cited by 12 publications

(3 citation statements)

References 24 publications

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“…Traditionally flexible bronchoscopy has been performed by pulmonologists, often on an elective basis in a controlled environment such as PICU or the operating theatre. In this setting, bronchoscopy is a high yield (60-80%), low-risk procedure (complication rate < 1-2%), with < 20% of patients requiring mechanical ventilation [1,2,4,6,7,8,15]. In contrast, our study reports on the application of bronchoscopy from the intensivist's perspective as a tool for diagnosing and treating common respiratory problems in PICU patients.…”

Section: Discussionmentioning

confidence: 89%

“…Flexible bronchoscopy using modern ultra-thin fibreoptic technology has revolutionised the investigation of neonatal and paediatric airway disorders over the past two decades [1,2,3,4,5,6,7,8]. Traditionally flexible bronchoscopy has been performed by pulmonologists.…”

Section: Introductionmentioning

confidence: 99%

“…Traditionally flexible bronchoscopy has been performed by pulmonologists. This is reflected in the majority of reports to date, where bronchoscopic indications have been largely diagnostic, and typically performed on stable, self-ventilating patients [2,3,4,5,6,7,8].…”

Section: Introductionmentioning

confidence: 99%

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Retrospective evaluation of a paediatric intensivist-led flexible bronchoscopy service

Manna¹,

Durward²,

Moganasundram³

et al. 2006

Intensive Care Med

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrospective evaluation of a paediatric intensivist-led flexible bronchoscopy service

Manna¹,

Durward²,

Moganasundram³

et al. 2006

Intensive Care Med

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Foreign-body aspiration mimicking congenital lobar emphysema in a forty-eight-day-old girl

et al. 2005

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Foreign-body aspiration (FBA) is a commonly encountered serious problem during childhood, accounting for 7% of lethal accidents in children aged 1-3 years. Bronchoscopy is indicated when a clear history of FBA is present, but the history may be unreliable. Clinical manifestations can be seen in various diseases, and when a history of FBA cannot be obtained, radiologic findings such as hyperaeration can suggest the presence of congenital anomalies, e.g., congenital lobar emphysema. Here, a 48-day-old girl with coconut aspiration is described, to emphasize that a clinical history may not be available and FBA should be among the possible diagnoses, even before 6 months of age.

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Flexible fiberoptic bronchoscopy in children with heart diseases: A twelve years experience

Cerda

Chacón

Reichhard

et al. 2007

Pediatric Pulmonology

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In children, cardiac diseases and respiratory disorders are tightly linked entities whose evaluation should be performed integrally. Flexible fiberoptic bronchoscopy (FB) presents a diagnostic and therapeutic role by assessing the airway anatomically, dynamically, and through the performance of several procedures. The present study describes our experience on FB assessment in children with congenital and acquired cardiac diseases, providing a characterization of the principal demographic and clinical features. Records of 72 patients under 14 years (mean age 21 months) with heart diseases, corresponding to 104 FB performed between January 1993 and October 2004 were reviewed. The principal cardiac diseases were left-to-right shunt (51.9%), followed by right-to-left shunt (17.3%) and miscellaneous cardiopathies (8.7%). The main indications for FB assessment were study of atelectasis (35%), stridor (14%), and pneumonia (14%). Airway malacias, as a group, were the commonest finding, represented mainly by left main bronchus malacia (24%). The second most common finding was stenosis by extrinsic compression, and among these, 75% corresponded to left main bronchus compression. Sixteen different types of clinically meaningful utilities were obtained. No mortality was reported and in only one procedure was there a major complication, which was easily managed. We concluded that FB is an important and safe diagnostic-therapeutic tool in the health care of neonates, infants, and children with a variety of cardiac diseases.

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Fibrobroncoscopia pediátrica. Análisis de una década

Cited by 12 publications

References 24 publications

Retrospective evaluation of a paediatric intensivist-led flexible bronchoscopy service

Retrospective evaluation of a paediatric intensivist-led flexible bronchoscopy service

Foreign-body aspiration mimicking congenital lobar emphysema in a forty-eight-day-old girl

Flexible fiberoptic bronchoscopy in children with heart diseases: A twelve years experience

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