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Interventional Bronchoscopy in Children: The Way Forward.

Nitin Dhochak1

  • 1Department of Pediatrics, All India Institute of Medical Sciences, 3rd Floor, Teaching Block, Ansari Nagar, New Delhi, 110029, India. nitind.aiims@gmail.com.

Indian Journal of Pediatrics
|May 19, 2023
PubMed
Summary
This summary is machine-generated.

Pediatric bronchoscopy has evolved from diagnosis to therapeutic interventions like biopsies and stenting. Advances in flexible bronchoscopes enable complex procedures, improving outcomes for children with airway issues.

Keywords:
Airway stentCryotherapyEndobronchial ultrasoundPediatric bronchoscopy

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Area of Science:

  • Pediatric Pulmonology
  • Interventional Pulmonology
  • Pediatric Endoscopy

Background:

  • Bronchoscopy in children traditionally focused on diagnosing airway anomalies and obtaining samples.
  • Technological advancements, particularly thinner bronchoscopes, have expanded its therapeutic applications.
  • Interventional bronchoscopy offers new treatment avenues for pediatric respiratory conditions.

Purpose of the Study:

  • To review the expanding role of bronchoscopic interventions in pediatric care.
  • To highlight the range of procedures now feasible in children.
  • To emphasize the importance of safety and expertise in pediatric bronchoscopy.

Main Methods:

  • Review of current literature and established techniques in pediatric bronchoscopy.
  • Discussion of diagnostic and therapeutic bronchoscopic procedures.
  • Emphasis on specialized techniques like endobronchial ultrasound and cryoprobe biopsies.

Main Results:

  • Bronchoscopy is now used for interventions including biopsies, stenosis dilation, stenting, foreign body removal, and atelectasis management.
  • Minimally invasive techniques like endobronchial ultrasound-guided aspiration and esophageal sampling are utilized.
  • Cryoprobe lung biopsies are increasingly employed in pediatric patients.

Conclusions:

  • Pediatric bronchoscopy has transitioned into a versatile interventional tool.
  • Successful implementation requires specialized equipment and experienced medical teams.
  • These advancements significantly improve the management of complex pediatric airway diseases.