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Flexible fiberoptic bronchoscopy in Greek children
F Kirvassilis1, D Gidaris2, M Ventouri3
13 Paediatric Clinic, Hippokratio Hospital, Aristotle University of Thessaloniki, Greece.
Hippokratia
|January 7, 2014
Summary
Flexible fiberoptic bronchoscopy in children is a safe procedure with a 75% diagnostic yield. Stridor indications yielded the highest diagnostic success, with fever being the most common, reversible side effect.
Area of Science:
- Pediatric Pulmonology
- Interventional Pulmonology
Background:
- Flexible fiberoptic bronchoscopy (FFB) is crucial in pediatric pulmonology.
- No prior audit-review of FFB in children in Greece existed.
- This study audits FFB experience in a Greek pediatric hospital.
Purpose of the Study:
- Analyze indications for pediatric bronchoscopy.
- Evaluate diagnostic yield per indication.
- Identify and assess potential complications.
Main Methods:
- Retrospective analysis of 316 diagnostic FFBs.
- Study period spanned six years.
- Data collected from a single pediatric pulmonology center.
Main Results:
- 75% of procedures yielded meaningful outcomes.
- Diagnostic yield varied from 41% to 91% by indication.
- Stridor (91% yield) was the most effective indication; fever (7%) was the most frequent complication, which was reversible.
Conclusions:
- Pediatric flexible fiberoptic bronchoscopy is a safe procedure.
- Overall diagnostic yield reached 75% in this diverse pediatric population.
- FFB is valuable for diagnosing pediatric respiratory conditions.
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