Official American Thoracic Society Technical Standards: Flexible Airway Endoscopy in Children

Faro, Albert; Wood, Robert E.; Schechter, Michael S.; Leong, Albin; Wittkugel, Eric P.; Abode, Kathy; Chmiel, James F.; Daines, Cori; Davis, Stephanie D.; Eber, Ernst; Huddleston, Charles B.; Kilbaugh, Todd J.; Kurland, Geoffrey; Midulla, Fabio; Molter, David W.; Montgomery, Gregory S.; Retsch‐Bogart, George; Rutter, Michael J.; Visner, Gary; Walczak, Stephen A.; Ferkol, Thomas; Michelson, Peter H.

doi:10.1164/rccm.201503-0474st

Cited by 135 publications

(126 citation statements)

References 117 publications

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“…Technique and indications of diagnostic BAL have been the subject of recent international recommendations [4][5][6]. Here we focus on whole-lung lavage (WLL) as a therapeutic option.…”

Section: Resultsmentioning

confidence: 99%

“…[38,39]. The technique has been described previously [4,39]. One study reported that 25% of TBBs performed in lung transplant recipients were undertaken for surveillance, 38% for follow-up of acute rejection and 37% for respiratory symptoms [40].…”

Section: Transbronchial and Endobronchial Biopsymentioning

confidence: 99%

“…Today, advanced therapeutic techniques such as laser treatment, balloon dilation and stent placement are used in children in specialised centres, with an expanding number of applications and indications. A recent American Thoracic Society task force has published technical standards on flexible airway endoscopy in children [4]. The aim of this ERS task force was to produce a statement based on a systematic review of the literature on interventional bronchoscopy in children.…”

Section: Introductionmentioning

confidence: 99%

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ERS statement: interventional bronchoscopy in children

et al. 2017

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Paediatric airway endoscopy is accepted as a diagnostic and therapeutic procedure, with an expanding number of indications and applications in children. The aim of this European Respiratory Society task force was to produce a statement on interventional bronchoscopy in children, describing the evidence available at present and current clinical practice, and identifying areas deserving further investigation. The multidisciplinary task force panel performed a systematic review of the literature, focusing on whole lung lavage, transbronchial and endobronchial biopsy, transbronchial needle aspiration with endobronchial ultrasound, foreign body extraction, balloon dilation and occlusion, laser-assisted procedures, usage of airway stents, microdebriders, cryotherapy, endoscopic intubation, application of drugs and other liquids, and caregiver perspectives. There is a scarcity of published evidence in this field, and in many cases the task force had to resort to the collective clinical experience of the committee to develop this statement. The highlighted gaps in knowledge underline the need for further research and serve as a call to paediatric bronchoscopists to work together in multicentre collaborations, for the benefit of children with airway disorders.

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“…Technique and indications of diagnostic BAL have been the subject of recent international recommendations [4][5][6]. Here we focus on whole-lung lavage (WLL) as a therapeutic option.…”

Section: Resultsmentioning

confidence: 99%

Section: Transbronchial and Endobronchial Biopsymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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ERS statement: interventional bronchoscopy in children

et al. 2017

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“…Pulmonary abscesses and bronchiectasis are tardy manifestations of a retained airway FB and extract the object (29,34,49). Rigid bronchoscopy sanctions control of the airway, good visualization, manipulation of the object with a wide variety of forceps, and yare management of mucosal haemorrhage (20,(50)(51)(52). Bronchoscopy is successful in extracting the FB in approximately 95% of cases, with a very low complication rate of less than 1% (7,53,54).…”

Section: Mediastinal Shiftmentioning

confidence: 99%

“…The main disadvantage of flexible bronchoscopy for FB abstraction is the peril of dislodging the FB and further compromising the airway. Because of these concerns, the American Thoracic Society (ATS) states, "In general, rigid instruments are superior for detailed anatomic assessment of the larynx and cervical trachea and for operative manipulation, principally foreign body extraction" (52). Flexible bronchoscopy is commonly utilized by most centers for management of FBA in adults.…”

Section: Mediastinal Shiftmentioning

confidence: 99%

Review of tracheobronchial foreign body aspiration in the South African paediatric age group

Sultan¹,

As²

2016

J. Thorac. Dis.

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Children, and in particular young children under the age of three, are the most vulnerable for aspiration and ingestion of foreign bodies (FBs). The Red Cross War Memorial Children's Hospital in Cape Town is the only children's hospital in South Africa and is unique in having a dedicated trauma unit for children under the age of 13 as part of its institution. Core activities of Childsafe South Africa (CSA), located at the hospital, are data accumulation and interpretation, development of educational programmes, health inculcation and advising in legislation involving child health. To achieve this task, CSA works in close co-operation with government, industry, non-governmental and community predicated organisations, community groups and individuals. A database of all children treated for trauma at CSA has been maintained since 1991; it currently contains detailed information of over 170,000 injuries in children under the age of 13.This review consists of a literature review combined with data from our database and aims to provide information on our experiences with tracheobronchial aspiration of FBs in children.

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