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Published on: June 23, 2023
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Pediatric flexible bronchoscopy: A single-center report.
Valentina Agnese Ferraro1, Eugenio Baraldi1, Diana Stabinger1
1Department of Women's and Children's Health, University of Padova, Padua, Italy.
Pediatric Pulmonology
|May 10, 2021
Summary
Flexible bronchoscopy (FB) in children is crucial for diagnosing respiratory issues like recurrent infections and chronic cough. This safe procedure identifies airway abnormalities and associated infections, guiding effective patient management.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Diagnostic Procedures
Background:
- Flexible bronchoscopy (FB) is a key diagnostic and therapeutic tool in pediatric respiratory medicine.
- Tertiary pediatric respiratory centers rely on FB for managing complex cases.
Purpose of the Study:
- To analyze the indications, findings, and adverse events of pediatric flexible bronchoscopies.
- To evaluate the diagnostic yield and safety of FB in children.
Main Methods:
- Retrospective review of electronic medical records for pediatric patients undergoing FB between 2013 and 2018.
- Analysis of clinical data, indications, anatomical findings, bronchoalveolar lavage (BAL) results, and adverse events.
Main Results:
- 447 FBs were performed in 428 pediatric patients, primarily for diagnostics (92.4%).
- Recurrent lower respiratory tract infections (LRTI) and chronic wet cough were primary indications.
- Lower airway malacia was a common finding, with significant bacterial isolation rates in BAL for LRTI and chronic wet cough patients.
Conclusions:
- Pediatric FB is an essential diagnostic tool in tertiary centers.
- FB effectively identifies anatomical and microbiological causes of chronic respiratory conditions.
- The procedure has a significant impact on patient management and is safe and well-tolerated.
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