[Flexible bronchoscopy in a pediatric pulmonology service]. / Broncoscopia flexible en un servicio de neumonología infantil.
Arch Argent Pediatr
; 106(1): 19-25, 2008 Feb.
Article
em Es
| MEDLINE
| ID: mdl-18636129
INTRODUCTION: Flexible bronchoscopy is a valuable diagnostic and therapeutic tool. The objective of the study is to describe the experience with flexible bronchoscopy in a Pulmonology Section of a Pediatric tertiary care hospital associated to the university. POPULATION AND METHODS: Studies performed between 01/2002 and 12/2005 were reviewed. Olympus(R) bronchoscopes (external diameters 2.8 and 4.8 mm) were used. Bronchoalveolar lavage was performed with 3 aliquots of 1 ml/kg of warmed sterile saline solution. RESULTS: One hundred and two fiberoptic bronchoscopies (49 males, 42 outpatients) and 77 bronchoalveolar lavage were performed. Patient's age ranged from 2 months to 18 years. Fifty one studies were done in an endoscopy suite, 47 in the operating room and 4 in the intensive care unit. Patient's diagnosis were: chronic lung disease (recurrent/ persistent pneumonia, bronchiectasis, primary ciliary dyskinesia) 65% (n: 66); immune deficiencies 18% (n: 18); cystic fibrosis 7% (n: 7), difficult airway 5% (n: 6) and noisy breathing 5% (n: 5). Ten patients developed mild complications (7 hypoxemia, 2 upper airway obstruction, 1 cardiac arrhythmia), and 1 patient a severe one (severe bronchial obstruction). Eighty five (65/77) bronchoalveolar lavage samples, 100% (12/12) bronchial brushing and 100% (6/6) endobronchial biopsies were representative. Procedures helped the decision-making process in 75% (76/102) of the patients studied. CONCLUSIONS: In this carefully selected population, flexible bronchoscopy and bronchoalveolar lavage were useful for their diagnosis and treatment.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Broncoscopia
/
Pneumopatias
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
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Child, preschool
/
Female
/
Humans
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Infant
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Male
Idioma:
Es
Revista:
Arch Argent Pediatr
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Argentina
País de publicação:
Argentina