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  • Title: Use of tracheobronchography as a diagnostic tool in ventilator-dependent infants.
    Author: MacIntyre P, Peacock C, Gordon I, Mok Q.
    Journal: Crit Care Med; 1998 Apr; 26(4):755-9. PubMed ID: 9559615.
    Abstract:
    OBJECTIVE: Comparison of investigations of the airway in ventilator-dependent infants. DESIGN: Consecutive infants with suspected upper airway abnormalities were investigated using rigid bronchoscopy and tracheobronchography. SETTING: Tertiary pediatric and neonatal intensive care units. PATIENTS: Eight infants with suspected airway abnormalities. INTERVENTIONS: Rigid bronchoscopy and tracheobronchography. MEASUREMENTS AND MAIN RESULTS: Structural abnormalities, segmental narrowing of the airways and the effect of various levels of positive-end expiratory pressures on the narrowings were documented. In six of the eight cases, additional airway abnormalities were diagnosed with tracheobronchography compared with rigid bronchoscopy. CONCLUSIONS: In cases of suspected abnormalities of the upper airway in small infants unable to be weaned from ventilatory support, tracheobronchography may be a more reliable investigation method than rigid bronchoscopy. The ability to assess the structural and dynamic components of the airway accurately and safely allows a correct and long-term treatment plan to be established in this group of patients.
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