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Published on: June 23, 2023
Pediatric Bronchoscopy for the Adult Interventional Pulmonologist
Alexa Rangecroft1, Alfin Vicencio2, Nidhi Kotwal3
1Section of Interventional Pulmonology, University of Maryland School of Medicine, 665 W Baltimore Street, Baltimore, MD 21201, USA.
Insights
Pediatric bronchoscopy is growing, but a lack of trained specialists means adult interventionalists often perform procedures. This article guides them through pediatric differences and future training needs.
Area of Science:
- Pediatric Pulmonology
- Interventional Pulmonology
Background:
- Pediatric bronchoscopy is crucial for diagnosing and treating respiratory diseases in children.
- A shortage of pediatric specialists necessitates collaboration with adult interventionalists.
Purpose of the Study:
- To provide guidance for adult interventionalists performing pediatric bronchoscopy.
- To highlight anatomical, physiological, and equipment differences in pediatric patients.
- To discuss future training needs in pediatric bronchoscopy.
Main Methods:
- Review of pediatric-specific anatomical and physiological considerations.
- Discussion of challenges unique to pediatric bronchoscopy.
- Overview of pediatric-sized bronchoscopy equipment.
- Exploration of training pathways for pediatric bronchoscopy.
Main Results:
- Adult interventionalists can perform pediatric bronchoscopy with appropriate knowledge.
- Understanding pediatric-specific differences is key to successful procedures.
- Specialized pediatric equipment is available and necessary.
Conclusions:
- Adult interventionalists play a vital role in pediatric bronchoscopy.
- Enhanced training is needed to increase the capacity of pediatric providers.
- Improving pediatric bronchoscopy services benefits children with respiratory conditions.
Abstract:
The field of pediatric bronchoscopy is rapidly expanding and enables diagnostic tests and therapeutic maneuvers, benefiting many children suffering from respiratory disease. However, due to a paucity of pediatric providers trained in bronchoscopy, many institutions rely on adult interventionalists collaborating with pediatric care teams to complete these procedures. In this article, we address the adult interventionalist taking on these cases and offer insight into key differences in pediatric anatomy and physiology, unique challenges encountered in this population and explore the equipment available in pediatric sizes. We also consider the future of the field, including broadening pediatric training to enhance capacity to complete these necessary procedures.
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