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Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
Published on: June 23, 2023
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Pediatric flexible bronchoscopy in the intensive care unit: A multicenter study.
Emine Atag1, Fusun Unal2, Hakan Yazan3
1Division of Pediatric Pulmonology, Faculty of Medicine, Medipol University, Istanbul, Turkey.
Pediatric Pulmonology
|July 8, 2021
Summary
Flexible bronchoscopy (FB) is a safe and effective tool for diagnosing and treating respiratory diseases in pediatric intensive care units (ICUs). This procedure significantly aids in management, with high diagnostic yield and no major complications reported.
Area of Science:
- Pediatric critical care medicine
- Pulmonology
- Medical procedures
Background:
- Flexible bronchoscopy (FB) is a common procedure for respiratory conditions.
- Its role in pediatric intensive care units (ICUs) requires further investigation.
Purpose of the Study:
- To assess the diagnostic and therapeutic contribution of FB in pediatric ICU patients.
- To evaluate the safety of FB in this vulnerable population.
Main Methods:
- Retrospective review of 196 children (<18 years) undergoing FB in pediatric ICUs (2015-2020).
- Data collected included indications, findings, complications, and impact on management.
Main Results:
- FB identified abnormalities in 90.8% of patients, most commonly airway malacia and secretions.
- The procedure positively contributed to management in 87.2%, leading to new diagnoses in 80.6% and therapy modifications in 39.8%.
- No major complications were observed.
Conclusions:
- Flexible bronchoscopy is a valuable diagnostic and therapeutic tool in neonatal and pediatric ICUs.
- FB is safe for use in critically ill children, with a high rate of positive contributions to patient care.
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