Flexible bronchoscopy as a valuable tool in the evaluation of persistent wheezing in children

Çakır, Erkan; Ersu, Refika; Uyan, Zeynep Seda; Öktem, Sedat; Karadağ, Bülent; Yapar, Okan; Pamukçu, Özge; Karakoç, Fazilet; Dağlı, Elif

doi:10.1016/j.ijporl.2009.08.016

Cited by 30 publications

(28 citation statements)

References 14 publications

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“…FB allows direct exploration of the bronchial tree and provides information about its anatomy and the existence of a possible intrinsic or extrinsic obstacle on the airway. It helps in the diagnosis of dynamic abnormalities such as malacia, undiagnosed by rigid bronchoscopy 2 …”

Section: Introductionmentioning

confidence: 99%

Flexible bronchoscopy contribution in the approach of diagnosis and treatment of children’s respiratory diseases: the experience of a unique pediatric unit in Tunisia

et al. 2016

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Objective: Our study aimed at assessing the role of flexible bronchoscopy (FB) in improving diagnosis and management of children's respiratory conditions in the pediatric unit of FB, newly created and unique in Tunisia. Methods: Retrospective study including all the FB achieved in our pediatric unit from 2009 to 2014. Results: We performed 365 FB in 333 patients aged 46 months on average (1 month -15 years), often under conscious anesthesia (81.6%). FB was performed for diagnostic purposes in 341 cases and for therapeutic purposes in 24 cases. Eight anatomical abnormalities were revealed in 22 patients. An intraluminal bronchial obstruction was found in 71 FB, mainly due to a foreign body (n=36). A vascular anomaly was responsible for nine cases out of 17 extraluminal obstructions. Airways malacia was observed in 60 FB. Bronchoalveolar lavage was performed in 196 cases. It was determinant in 43.9% of the cases. FB was of great diagnostic value in 74.8% of the cases. It influenced the management of the patients in 58% of the cases. The FB for therapeutic purposes was beneficial in all cases. Few complications occurred (5.5%). Conclusion: FB is a safe tool providing precious diagnostic and/or therapeutic help for the clinician. Tunisia. Afri Health Sci. 2016;16(1): 51-60. http://dx.doi.org/10.4314/ahs.v16i1.7 Introduction Pediatric pulmonology has experienced significant progress in recent decades in the understanding and management of respiratory diseases of children, becoming a specialty in itself. The development of diagnostic tools, including flexible bronchoscopy (FB), has contributed much to the development of this specialty.

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Section: Introductionmentioning

confidence: 99%

Flexible bronchoscopy contribution in the approach of diagnosis and treatment of children’s respiratory diseases: the experience of a unique pediatric unit in Tunisia

et al. 2016

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“…Stridor or noisy breathing is the most common indication in infants, whereas the evaluation of airway obtruction, which may involve the upper or lower airway or both, is the most common indication for FB in children [3]. According to Barbato et al [4], recurrent or persistant pneumonia, atelectasis, and wheezing that does not respond to therapy are the most common indications for FB in children.…”

Section: Discussionmentioning

confidence: 99%

Flexible Fiberoptic Bronchoscopy Through the Laryngeal Mask Airway in a Small Premature Infant

Gedik

Çakır

Topuz

2016

Turk Toraks Dergisi

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Flexible bronchoscopy (FB) can be used safely for wider indications in children. Ultra-thin bronchoscopes are used for premature or newborn infants and are of limited diagnostic value. Bronchoscopes with a suction channel, may lead to problems when the nasal passage is narrow, particularly in patients under 2.5 kg. In addition, it may cause bronchospasm and hypoxia in small infants during the procedure because of an almost complete obstruction of the airway. A laryngeal mask airway (LMA) may prevent both bronchospasm and hypoxia because it does not need a nasal route. In addition, the LMA allows positive pressure ventilation during the procedure. We performed FB with a 3.7 mm bronchoscope through the LMA in a 75-day-old and 1910 g premature baby with atelectasis. This is the first and successful FB experience in such a small premature infant reported in the literature using a 3.7 mm bronchoscope through the LMA. INTRODUCTIONFlexible endoscopy of pediatric airways was first reported in 1978. Since then, the technique has continued to develop, and the number of flexible bronchoscopy (FB) procedures in pediatric patients has increased with the availability of smaller devices. FB in children of the age group of 0-18 years can be used safely for wider indications in children of different weights and ages. Pediatric airway bronchoscopy may involve the inspection of the nose, pharynx, larynx, trachea, and bronchi. Diagnostic indications include the evaluation of stridor, an unexplained or persistant wheeze or cough, possible malformations, recurrent atelectasis or infiltrations, hemoptysis, and collection of specimens. No certain contraindications for bronchoscopy were noted [1]. The laryngeal mask airway (LMA) has been used since 1983, and the use of bronchoscopy via the LMA of infants and children has increased with the availbility of smaller sizes of the LMA [2]. We performed FB with a 3.7 mm bronchoscope via the LMA in a 75-day-old 1910 g premature baby with atelectasis. This is the first and successful FB experience in such a small premature infant reported in the literature using a 3.7 mm bronchoscope through the LMA.

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“…In patients with airway obstruction, it is important to perform bronchoscopy in order to assess and explain the symptoms as well as to determine whether and possibly which intervention may be required. Flexible bronchoscopy (FOB) is an important, safe and essential diagnostic tool for structural and functional assessment of airways, and in the diagnosis of congenital and acquired pulmonary disorders of paediatric patients [14][15][16]. The use of the flexible endoscope is indispensable if functional assessment of the airway is required, especially for the upper airways.…”

Section: Discussionmentioning

confidence: 99%

Upper airway abnormalities detected in children using flexible bronchoscopy

Midyat

Çakır

Kut

2012

International Journal of Pediatric Otorhinolaryngology

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Flexible bronchoscopy as a valuable tool in the evaluation of persistent wheezing in children

Cited by 30 publications

References 14 publications

Flexible bronchoscopy contribution in the approach of diagnosis and treatment of children’s respiratory diseases: the experience of a unique pediatric unit in Tunisia

Flexible bronchoscopy contribution in the approach of diagnosis and treatment of children’s respiratory diseases: the experience of a unique pediatric unit in Tunisia

Flexible Fiberoptic Bronchoscopy Through the Laryngeal Mask Airway in a Small Premature Infant

Upper airway abnormalities detected in children using flexible bronchoscopy

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