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[Fibro-bronchoscopy without general anesthesia in pediatric patients]
J Pérez-Frías1, E Pérez-Ruiz, I Durán Hidalgo
1Sección de Neumología Infantil, Cátedra Hospital Materno-Infantil Carlos Haya, Málaga.
Anales Espanoles De Pediatria
|July 1, 1992
Summary
Flexible bronchofiberoscopy is a valuable pediatric pulmonology tool. This procedure, often done without general anesthesia, changed treatment for 67% of children, aiding in diagnosing conditions like atelectasis and pneumonia.
Area of Science:
- Pediatric Pulmonology
- Interventional Pulmonology
- Pediatric Endoscopy
Context:
- Flexible bronchofiberoscopy is a crucial diagnostic and therapeutic tool in pediatric pulmonology.
- Its utility is enhanced by the possibility of performing it outside the operating room, without general anesthesia or supplemental oxygen.
- This adaptability broadens its application spectrum in pediatric patients.
Purpose:
- To evaluate the efficacy and safety of flexible bronchofiberoscopy in children under 14 years of age.
- To identify the primary indications for the procedure in this cohort.
- To assess the impact of flexible bronchofiberoscopy on subsequent patient management.
Summary:
- Thirty-three flexible bronchofiberoscopies were conducted over one year in children under 14.
- Common indications included atelectasis (27.3%), recurrent pneumonia (15.1%), and suspected foreign body (15.1%).
- The combination of Diazepam and Ketamine was the most frequent sedation method (82%); 16 patients did not require oxygen, and only one experienced a serious complication.
Impact:
- Flexible bronchofiberoscopy led to a change in treatment for 22 children (67%).
- The procedure demonstrated significant benefit in guiding pediatric respiratory care.
- This highlights its indispensable role in managing pediatric airway conditions.