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Fiberoptic bronchoscopy in the neonate.

N N Finer¹, P C Etches

¹Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.

Pediatric Pulmonology

|January 1, 1989

Summary

Flexible fiberoptic bronchoscopy is a valuable tool for examining infant airways, aiding in both elective procedures and emergency airway management. This technique, performed in 77 neonates over 37 months, proved useful for diagnosing issues like tube blockage.

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Area of Science:

Neonatal medicine
Pediatric pulmonology
Medical instrumentation

Background:

Flexible fiberoptic bronchoscopy is an established diagnostic tool in pediatric medicine.
Neonatal airway management presents unique challenges due to anatomical differences and critical care needs.

Purpose of the Study:

To evaluate the utility and outcomes of flexible fiberoptic bronchoscopy in a neonatal population.
To assess the role of bronchoscopy in both elective and emergency airway management scenarios in neonates.

Main Methods:

A retrospective review of 113 flexible fiberoptic bronchoscopies performed on 77 neonates over a 37-month period.
Procedures were performed using various flexible fiberoptic instruments, with some conducted via endotracheal tube or tracheostomy.

Main Results:

Flexible fiberoptic bronchoscopy was successfully utilized in 77 neonates.
Thirty-six examinations were performed through existing endotracheal tubes or tracheostomies.
The procedure demonstrated value in managing emergent situations, including suspected tube blockage, malposition, and difficult intubations.

Conclusions:

Flexible fiberoptic bronchoscopy is a safe and effective procedure for neonatal airway evaluation.
It plays a crucial role in managing both elective and emergency airway conditions in neonates.
Video recording enhances teaching and documentation of findings during neonatal bronchoscopy.

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