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[Inhalation anaesthesia in bronchoscopies on infants and small children (author's transl)]
Insights
Pediatric bronchoscopy is a safe and effective procedure for diagnosing airway issues and removing foreign bodies in young children. With modern advancements, complications are minimal, allowing for same-day discharge in most cases.
Area of Science:
- Pediatric Pulmonology
- Pediatric Endoscopy
Context:
- Bronchoscopy is a crucial diagnostic and therapeutic tool in pediatric care.
- Foreign body aspiration and airway inflammation are common pediatric emergencies.
Purpose:
- To evaluate the safety and efficacy of pediatric bronchoscopy.
- To assess the outcomes of bronchoscopies in children aged 7 months to 3 years.
Summary:
- 37 pediatric bronchoscopies were performed over 5 years for foreign body removal, inflammation diagnosis, and stridor evaluation.
- Improved instrumentation and anesthesia techniques resulted in zero complications.
- Most procedures were outpatient, with early intervention recommended to prevent complications.
Impact:
- Highlights the safety and efficiency of modern pediatric bronchoscopy.
- Supports the use of early endoscopic intervention for pediatric airway conditions.
- Demonstrates the feasibility of outpatient management for many pediatric bronchoscopy cases.
Abstract:
Over the past 5 years 37 bronchoscopies were performed on children aged 7 months to 3 years for the removal of foreign bodies, the diagnosis of inflammations, and the cause of chronic stridor. Because of improved instrumentation, illumination with "cold light" and cooperation between endoscopist and anaesthesist there were no complications. Anaesthesia was achieved by a mixture of oxygen, nitrous oxide and fluothane without use of muscle relaxants. Each child was given Atropine and Solu-Decortin H and if indicated Calcium gluconate and Euphillin. These endoscopies, except in three children with gross inflammation, were carried out as out-patient procedures. Early endoscopy in the doubtful case is desirable, since later complications may make anaesthetic conditions hazardous.