Pediatric flexible bronchoscopy in the intensive care unit: A multicenter study
![Thumbnail](/xmlui/bitstream/handle/20.500.12511/8462/Atag-Emine-2021.pdf.jpg?sequence=4&isAllowed=y)
View/ Open
Access
info:eu-repo/semantics/embargoedAccessDate
2021Author
Atağ, EmineÜnal, Füsun
Yazan, Hakan
Girit, Saniye
Uyan, Zeynep Seda
Ergenekon, Almala Pınar
Yayla, Esra
Merttürk, Edanur
Telhan, Leyla
Meral, Özge
Küçük, Hanife Büşra
Gündüz, Mehmet
Gökdemir, Yasemin
Eralp, Ela Erdem
Kıyan, Gürsu
Çakır, Erkan
Ersu, Refika
Karakoç, Fazilet
Öktem, Sedat
Metadata
Show full item recordCitation
Atağ, E., Ünal, F., Yazan, H., Girit, S., Uyan, Z. S., Ergenekon, A. P. ... Öktem, S. (2021). Pediatric flexible bronchoscopy in the intensive care unit: A multicenter study. Pediatric Pulmonology, 56(9), 2925-2931. https://dx.doi.org/10.1002/ppul.25566Abstract
Introduction Flexible bronchoscopy (FB) is frequently used for assessment and treatment of patients with respiratory diseases. Our aim was to investigate the contribution of FB to diagnosis and therapy in children admitted to the intensive care units (ICU) and to evaluate the safety of FB in this vulnerable population. Methods Children less than 18 years of age who underwent FB in the five neonatal and pediatric ICUs in Istanbul between July 1st, 2015 and July 1st, 2020 were included to the study. Demographic and clinical data including bronchoscopy indications, findings, complications, and the contribution of bronchoscopy to the management were retrospectively reviewed. Results One hundred and ninety-six patients were included to the study. The median age was 5 months (range 0.3-205 months). The most common indication of FB was extubation failure (38.3%), followed by suspected airway disease. Bronchoscopic assessments revealed at least one abnormality in 90.8% patients. The most common findings were airway malacia and the presence of excessive airway secretions (47.4% and 35.7%, respectively). Positive contribution of FB was identified in 87.2% of the patients. FB had greater than 1 positive contribution in 138 patients and 80.6% of the patients received a new diagnosis. Medical therapy was modified after the procedure in 39.8% and surgical interventions were pursued in 40% of the patients. Therapeutic lavage was achieved in 18.9%. There were no major complications. Conclusion Flexible bronchoscopy is a valuable diagnostic and therapeutic tool in neonatal and pediatric ICUs and is not associated with major complications.
WoS Q Kategorisi
Q2xmlui.dri2xhtml.METS-1.0.item-scopusquality
Q1Source
Pediatric PulmonologyVolume
56Issue
9Collections
- Makale Koleksiyonu [3790]
- PubMed İndeksli Yayınlar Koleksiyonu [4251]
- Scopus İndeksli Yayınlar Koleksiyonu [6601]
- WoS İndeksli Yayınlar Koleksiyonu [6677]