Indications for Flexible Fiberoptic Bronchoscopy in Pediatric Patients

Fitzpatrick, Sherahe

doi:10.1001/archpedi.1983.02140320071016

Cited by 25 publications

(14 citation statements)

References 17 publications

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“…Nussbaum's6 series of 164 bronchoscopies in infants and children aged 1 day to 16 years with unresolved pneu¬ monia, persistent atelectasis, or stridor, three children experienced mild transient stridor after the procedure and five children had mild nasopharyn¬ geal bleeding controlled by local ap¬ plication of epinephrine (5% compli¬ cation incidence).3 Two episodes of transient hemoptysis and one episode of transient hypoxemia were noted after FFB in 95 pediatrie patients in the series of Fitzpatrick et al 7 Several factors might explain our overall success in this group of pedi¬ atrie patients. All decisions to perform FFB are made by experienced bronchoscopists after carefully weighing the risks and benefits in each case.…”

Section: Resultsmentioning

confidence: 99%

Safety and Efficacy of Flexible Endoscopy in Children With Bronchopulmonary Dysplasia

Cohn

Kercsmar

Dearborn

1988

Arch Pediatr Adolesc Med

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Section: Resultsmentioning

confidence: 99%

Safety and Efficacy of Flexible Endoscopy in Children With Bronchopulmonary Dysplasia

Cohn

Kercsmar

Dearborn

1988

Arch Pediatr Adolesc Med

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“…It was used at 23 centres, followed by meperidine [12,13], which was used at seven centres. In some European countries midazolam is still not commercially available.…”

Section: Discussionmentioning

confidence: 99%

Use of the paediatric bronchoscope, flexible and rigid, in 51 European centres

Barbato¹,

Magarotto²,

Crivellaro³

et al. 1997

Eur Respir J

110

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We have undertaken a survey to establish current practices and differences in the use of bronchoscopes in children in European centres.A questionnaire was sent to all 220 members of the Paediatric Assembly of the European Respiratory Society (ERS). The questions concerned the following points: indications for bronchoscopy; site of bronchoscopy; type of sedation; any oxygen supplementation during the procedure; number of procedures performed in the previous 12 months; number of procedures performed in the neonatal intensive care unit; number of bronchoalveolar lavages (BALs); side-effects during and after the procedures; and diagnostic yield.Fifty one European centres (40.8% of the European centres contacted) took part in the study. A total of 7,446 bronchoscopies had been performed in the last 12 months: 4,587 using the flexible bronchoscope and 2,859 using the rigid bronchoscope. At centres using only the fibreoptic bronchoscope, the most frequent indication was "recurrent/persistent pneumonia" (17%); at centres using only the rigid bronchoscope, it was "foreign body inhalation" (36.7%); at centres using both methods, the most frequent indication was "other indications" (23.9%).In 12 months, 2,231 BALs were performed: 1,419 in immunocompetent children and 812 in immunocompromised patients. In centres using only the fibreoptic bronchoscope, the highest yield was for "stridor" (81%); in centres using only the rigid bronchoscope, the highest yield was for "persistent atelectasis" (68%); and in centres using both instruments, it was for "foreign body inhalation" (93%).The results of the study suggest that bronchoscopy in children is now a wellestablished procedure at several European centres, while others are just beginning to use this technique. Eur Respir J 1997; 10: 1761-1766 In the past, bronchial endoscopy called for the use of the rigid bronchoscope and was consequently used very infrequently in children [1]. The advent of thin and ultrathin fibreoptic bronchoscopes has considerably extended the use of this procedure [2], even in the neonatal field [3].Since there is no European survey of the highly specialized paediatric pneumology centres where rigid and flexible bronchoscopes are routinely used in children, the Paediatric Bronchology Group of the European Respiratory Society (ERS) prepared a questionnaire and sent it to all member paediatricians with a view to gaining a picture of the situation in Europe and obtaining information on the most common indications for paediatric bronchoscopy, the number of procedures performed each year, where such procedures are carried out, what type of sedation is used and what results are obtained. Materials and methodsThe questionnaire was sent in March 1995 to all 220 members of the Paediatric Assembly listed on the ERS Roster of July 1993, using the Scientific Group Code 07.01, .02, .03, .04, .05, .06 and .07. There were 172 paediatricians from 125 European centres, and 48 from 43 centres outside Europe. The questions concerned the following points: the most c...

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“…The most important indications for bronchoscopy were persistent atelectasis or pulmonary infiltrates, prolonged wheezing and suspected foreign bodies [2,5,8]. It is important to mention in this context that foreign bodies cannot be extracted through the FFB.…”

Section: Discussionmentioning

confidence: 99%

Radiographic-endoscopic correlations in the examination of airway disease in children

Gyepes

Nussbaum

1985

Pediatr Radiol

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The results of radiographic examinations and flexible fiberoptic endoscopy (FFE) of the airways were correlated in 100 pediatric patients. For the diagnosis of laryngomalacia, tracheal stenosis and tracheal granulomas. FFE proved to be more accurate than radiography. In epiglottitis and croup, the two methods were comparable. In bronchial and resulting parenchymal disease, the chest films served as the endoscopist's guide because the consequences of bronchial obstruction manifested rapidly on chest roentgenograms. FFE was particularly useful when the chest films did not reveal or lateralize a clinically suspected foreign body. FFE was not error-free; in a small number of cases, radiologic methods provided critical diagnoses, which were not arrived at by endoscopy.

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Indications for Flexible Fiberoptic Bronchoscopy in Pediatric Patients

Cited by 25 publications

References 17 publications

Safety and Efficacy of Flexible Endoscopy in Children With Bronchopulmonary Dysplasia

Safety and Efficacy of Flexible Endoscopy in Children With Bronchopulmonary Dysplasia

Use of the paediatric bronchoscope, flexible and rigid, in 51 European centres

Radiographic-endoscopic correlations in the examination of airway disease in children

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