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Flexible bronchoscopy in children: Utility and complications
Rayan S Terkawi1,2, Khaild A Altirkawi3, Abdullah S Terkawi4,5
1Department of Surgery, Sanad Hospital, Riyadh, Saudi Arabia.
International Journal of Pediatrics & Adolescent Medicine
|February 27, 2019
Summary
Pediatric flexible bronchoscopy is a valuable diagnostic and therapeutic tool, though complications like desaturation occur. Careful patient selection and risk assessment are crucial for its safe and effective use in children.
Area of Science:
- Pediatric Pulmonology
- Medical Devices
- Diagnostic Procedures
Background:
- Flexible bronchoscopy is a key tool for pediatric pulmonologists.
- Knowledge gaps exist regarding its optimal use and complication reduction.
Purpose of the Study:
- Evaluate the utility of pediatric flexible bronchoscopy.
- Assess complications associated with the procedure.
Main Methods:
- Retrospective review of 149 pediatric bronchoscopy cases (March 2006 - April 2015).
- Assessed diagnostic contribution, accuracy of bronchoalveolar lavage (BAL) white blood cell (WBC) counts, and predictors of desaturation.
- Summarized procedural complications.
Main Results:
- Bronchoscopy confirmed, ruled out, or discovered unexpected diagnoses.
- BAL WBC count accuracy for differentiating infection was poor (AUC=0.609), but cutoff values aided early differentiation.
- No clinical factors predicted desaturation; the most common complication was desaturation (13%).
Conclusions:
- Flexible bronchoscopy is an important and relatively safe diagnostic and therapeutic tool in pediatric medicine.
- Encourage utilization after careful patient selection and risk-benefit assessment.
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