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Bronchoscopy in severe childhood asthma: Irresponsible or irreplaceable?
Megan N Januska1, David L Goldman2, Wilmore Webley3
1Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
Pediatric Pulmonology
|November 16, 2019
Summary
Bronchoscopy is traditionally used to rule out other conditions in severe childhood asthma. This review explores its evolving role beyond diagnostics for managing severe pediatric asthma effectively.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
Background:
- Guideline-based management for severe childhood asthma involves escalating anti-inflammatory and bronchodilatory medications.
- Comorbid conditions are also addressed in the management of severe pediatric asthma.
- Bronchoscopy has historically been used to exclude asthma mimics in children.
Purpose of the Study:
- To review the historical, current, and potential future applications of bronchoscopy in severe childhood asthma.
- To discuss the clinical utility of bronchoscopy in the context of severe pediatric asthma management.
Main Methods:
- This is a solicited lecture summary.
- The content is based on a review of existing literature and clinical practice regarding bronchoscopy in severe childhood asthma.
Main Results:
- The traditional role of bronchoscopy in severe asthma is primarily diagnostic, to rule out mimicking conditions.
- There is emerging discussion and questioning of the broader clinical utility of bronchoscopy in this patient population.
- The potential for future applications beyond diagnostics is being considered.
Conclusions:
- Bronchoscopy's role in severe childhood asthma is evolving beyond its traditional diagnostic function.
- Further research and clinical evaluation are needed to define the future utility of bronchoscopy in managing severe pediatric asthma.
- Understanding the changing applications of bronchoscopy can optimize treatment strategies for children with severe asthma.
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