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  • Title: Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: a report on 5 years of experience.
    Author: Peng YY, Soong WJ, Lee YS, Tsao PC, Yang CF, Jeng MJ.
    Journal: Pediatr Pulmonol; 2011 Oct; 46(10):1031-7. PubMed ID: 21626712.
    Abstract:
    OBJECTIVE: To evaluate the clinical role of flexible bronchoscopy (FB) in pediatric and neonatal intensive care units (ICUs). DESIGN: A retrospective review of all patients receiving FB procedures between January 2005 and December 2009. SETTING: Pediatric and neonatal ICUs of a tertiary care multi-disciplinary teaching hospital located in northern Taiwan. PATIENTS: A total of 358 ICU patients (223 males) who received 725 FB procedures. MEASUREMENTS AND MAIN RESULTS: The medical records were reviewed and analyzed. Mean age for the first time FB was 35.7 (±48.9 SD) months old and 68.2% of them were <3 years old. Among them, unexplained retraction or tachypnea (32.0%) and stridor (20.1%) were the two leading indications for FB. The positive finding rate of FB was 87.2%, with airway malacia (47.8%) being the most common, especially in patients <3 years old. Positive lesion sites were approximately equally distributed between the upper (51.1%) and lower (50.6%) airways. Concomitant findings in the esophagus were found in 15.4% of the patients. There were 518 interventional FBs (71.4%, 518/725 procedures) which were performed on 201 (56.1%, 201/358) patients; FB-aided endotracheal intubation (180/518, 34.7%) and laser therapy (109/518, 21.0%) were the two leading techniques used. No patient suffered from any long-term complications or mortality associated with the FB procedures. CONCLUSIONS: FB is a safe and valuable diagnostic and therapeutic tool for patients in pediatric and neonatal ICUs.
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