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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.
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.
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