Related Experiment Video
Updated: May 9, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Interventional pulmonology procedures in the pediatric population
Christopher R Gilbert1, David Feller-Kopman, Jason Akulian
1Department of Pulmonary, Allergy, and Critical Care Medicine, Penn State College of Medicine-Milton S. Hershey Medical Center, Bronchoscopy and Interventional Pulmonary, Hershey, Pennsylvania.
Insights
Interventional pulmonology (IP) successfully managed pediatric patients with complex airway and pleural diseases. Procedures were safe and effective, with no major complications or deaths in this young patient group.
Area of Science:
- Pulmonology
- Pediatric Medicine
- Interventional Procedures
Background:
- Interventional pulmonology (IP) training involves multidisciplinary care for diverse pathologies across age groups.
- The specific role and outcomes of interventional pulmonologists in pediatric care remain underexplored.
- This study details the experience of IP in managing pediatric patients at an academic institution.
Purpose of the Study:
- To describe the experience and outcomes of interventional pulmonology procedures in pediatric patients.
- To evaluate the safety and efficacy of IP in managing complex airway and pleural diseases in children.
- To establish the role of interventional pulmonologists in the pediatric patient population.
Main Methods:
- A retrospective review of interventional pulmonology procedures performed between 2008 and 2011.
- Identification of all patients under 21 years of age undergoing IP procedures.
- Data collection included patient age, procedure type, diagnosis, outcomes, and complications.
Main Results:
- Thirty-five patients under 21 years old (14 under 18) underwent 56 IP procedures.
- Procedures included 30 inpatient and 26 outpatient interventions.
- No deaths or major complications were reported for any procedure.
Conclusions:
- A cohort of pediatric patients safely underwent diagnostic and therapeutic IP procedures.
- Interventional pulmonology teams effectively managed complex malignant and benign airway and pleural diseases in children.
- The findings demonstrate the safety and feasibility of IP in evaluating and managing pediatric airway and pleural conditions.
Introduction:
Advanced training in interventional pulmonology (IP) includes a multidisciplinary approach to a wide variety of pathologic conditions affecting different age groups. The role of the interventional pulmonologist in the pediatric patient population has not been described. We report our experience of the care of pediatric patients by IP at an academic institution.
Methods:
A retrospective review of inpatient and outpatient IP procedures from 2008 to 2011 was performed. All patients' less than 21 years of age at the time of their procedure were identified. Data regarding age, procedure performed, pre-operative diagnosis, results, and complications were collected.
Results:
Thirty-five patients younger than the age of 21, with 14 of these patients being under the age of 18, were identified. Fifty-six procedures were performed on the entire cohort, 30 as inpatient procedures and 26 as outpatient procedures. There were no deaths or major complications related to any procedure.
Discussion:
We identified a cohort of pediatric patients that were able to successfully undergo diagnostic and therapeutic procedures under the direction of an experienced IP team. Cases included the evaluation and management of both malignant and benign complex airway and pleural diseases. There was no major morbidity or mortality related to our procedures, demonstrating an ability to safely evaluate and manage complex airway and pleural disease in the pediatric population.
Related Concept Videos
Pulmonary Function Tests
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...