Traqueobroncomalacia en pacientes pediátricos: experiencia clínica

Background: Tracheobronchomalacia is characterized by a deficiency in the cartilaginous support of the trachea and bronchi and hypotony in the myoelastic elements, that lead to different levels of airway obstruction. Aim: To report our experience in the treatment of traqueobronchomalacia. Material a...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Castillo M,Andrés, Smith S,Jeany, Figueroa V,Valeria, Bertrand N,Pablo, Sánchez D,Ignacio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Bronchodilator agents Bronchoscopy Tracheal diseases Tracheomalacia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000900008
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872002000900008
record_format	dspace
spelling	oai:scielo:S0034-988720020009000082005-11-29Traqueobroncomalacia en pacientes pediátricos: experiencia clínicaCastillo M,AndrésSmith S,JeanyFigueroa V,ValeriaBertrand N,PabloSánchez D,Ignacio Bronchodilator agents Bronchoscopy Tracheal diseases Tracheomalacia Background: Tracheobronchomalacia is characterized by a deficiency in the cartilaginous support of the trachea and bronchi and hypotony in the myoelastic elements, that lead to different levels of airway obstruction. Aim: To report our experience in the treatment of traqueobronchomalacia. Material and methods: Retrospective review of 24 patients with tracheomalacia of different levels (3 tracheobronchomalacia, 3 laryngotracheomalacia) and 8 patients with bronchomalacia. Results: The age at diagnosis ranged from 9 days to 9 years. Clinical presentation was recurrent wheezing in 19 patients, stridor in 6 and atelectasis in 4. The associated factors were neurological impairment in 8, congenital heart disease in 10 and prolonged mechanical ventilation in 4. The diagnosis was done by flexible bronchoscopy in all patients, using sedation and allowing spontaneous breathing. At the moment of diagnosis, treatment consisted in oxygen supply in 14 patients, physiotherapy in 21, beta2 adrenergic agonists in 27, racemic epinephrine in 8, mechanical ventilation in 12, ipratropium bromide in 5 and inhaled steroids in 13. After diagnosis, 24 patients received bronchodilator therapy with ipratropium bromide, 15 received racemic epinephrine and 22 received inhaled steroids. In 21, beta2 adrenergic agonists were discontinued. Thirteen patients required ventilation support and home oxygen. Twenty two patients showed a satisfactory clinical evolution and 6 patients died. Conclusions: The clinical presentation of tracheobronchomalacia is varied and diagnosis is done by flexible bronchoscopy. Treatment will depend on the severity of the disease, but beta2 adrenergic agonists should be excluded (Rev Méd Chile 2002; 130: 1014-20).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.9 20022002-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000900008es10.4067/S0034-98872002000900008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Bronchodilator agents Bronchoscopy Tracheal diseases Tracheomalacia
spellingShingle	Bronchodilator agents Bronchoscopy Tracheal diseases Tracheomalacia Castillo M,Andrés Smith S,Jeany Figueroa V,Valeria Bertrand N,Pablo Sánchez D,Ignacio Traqueobroncomalacia en pacientes pediátricos: experiencia clínica
description	Background: Tracheobronchomalacia is characterized by a deficiency in the cartilaginous support of the trachea and bronchi and hypotony in the myoelastic elements, that lead to different levels of airway obstruction. Aim: To report our experience in the treatment of traqueobronchomalacia. Material and methods: Retrospective review of 24 patients with tracheomalacia of different levels (3 tracheobronchomalacia, 3 laryngotracheomalacia) and 8 patients with bronchomalacia. Results: The age at diagnosis ranged from 9 days to 9 years. Clinical presentation was recurrent wheezing in 19 patients, stridor in 6 and atelectasis in 4. The associated factors were neurological impairment in 8, congenital heart disease in 10 and prolonged mechanical ventilation in 4. The diagnosis was done by flexible bronchoscopy in all patients, using sedation and allowing spontaneous breathing. At the moment of diagnosis, treatment consisted in oxygen supply in 14 patients, physiotherapy in 21, beta2 adrenergic agonists in 27, racemic epinephrine in 8, mechanical ventilation in 12, ipratropium bromide in 5 and inhaled steroids in 13. After diagnosis, 24 patients received bronchodilator therapy with ipratropium bromide, 15 received racemic epinephrine and 22 received inhaled steroids. In 21, beta2 adrenergic agonists were discontinued. Thirteen patients required ventilation support and home oxygen. Twenty two patients showed a satisfactory clinical evolution and 6 patients died. Conclusions: The clinical presentation of tracheobronchomalacia is varied and diagnosis is done by flexible bronchoscopy. Treatment will depend on the severity of the disease, but beta2 adrenergic agonists should be excluded (Rev Méd Chile 2002; 130: 1014-20).
author	Castillo M,Andrés Smith S,Jeany Figueroa V,Valeria Bertrand N,Pablo Sánchez D,Ignacio
author_facet	Castillo M,Andrés Smith S,Jeany Figueroa V,Valeria Bertrand N,Pablo Sánchez D,Ignacio
author_sort	Castillo M,Andrés
title	Traqueobroncomalacia en pacientes pediátricos: experiencia clínica
title_short	Traqueobroncomalacia en pacientes pediátricos: experiencia clínica
title_full	Traqueobroncomalacia en pacientes pediátricos: experiencia clínica
title_fullStr	Traqueobroncomalacia en pacientes pediátricos: experiencia clínica
title_full_unstemmed	Traqueobroncomalacia en pacientes pediátricos: experiencia clínica
title_sort	traqueobroncomalacia en pacientes pediátricos: experiencia clínica
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000900008
work_keys_str_mv	AT castillomandres traqueobroncomalaciaenpacientespediatricosexperienciaclinica AT smithsjeany traqueobroncomalaciaenpacientespediatricosexperienciaclinica AT figueroavvaleria traqueobroncomalaciaenpacientespediatricosexperienciaclinica AT bertrandnpablo traqueobroncomalaciaenpacientespediatricosexperienciaclinica AT sanchezdignacio traqueobroncomalaciaenpacientespediatricosexperienciaclinica
_version_	1718436056480612352

Traqueobroncomalacia en pacientes pediátricos: experiencia clínica

Ejemplares similares