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Flexible bronchoscopy in children: complications and predictive factors
Ayşen Başaran1, Abdurrahman Erdem Başaran1, Betül Bankoğlu Parlak1
1Division of Pulmonology, Department of Pediatrics, Faculty of Medicine, Akdeniz University, Antalya, Türkiye.
The Turkish Journal of Pediatrics
|December 2, 2025
Summary
Flexible bronchoscopy (FB) in children is generally safe, but complications like hypoxia can occur. Young age, nasal route, and high-risk assessments predict adverse events in pediatric patients undergoing FB.
Area of Science:
- Pediatric Pulmonology
- Medical Procedures
- Patient Safety
Background:
- Flexible bronchoscopy (FB) is a common pediatric procedure.
- Limited data exists on complications and risk factors in children undergoing FB.
Purpose of the Study:
- To evaluate complications associated with pediatric FB.
- To identify predictors of FB-related complications in children.
Main Methods:
- Retrospective analysis of 292 pediatric patients (0-18 years) undergoing FB.
- Data collected included demographics, procedure details, and complications.
- Pre-procedure assessments (ASA-PS, Mallampati score) were recorded.
Main Results:
- 18.8% of patients experienced FB-related complications, including 6.5% major complications.
- Hypoxia was the most frequent complication (11.3%).
- Predictors of complications included younger age, lower height, anticipated intensive care, and baseline oxygen saturation.
Conclusions:
- Pediatric FB is relatively safe but requires caution.
- Risk factors for complications include young age, nasal intubation, and high-risk pre-procedure assessment.
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