Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos

Approximately a decade ago, pediatric Flexible Bronchoscopy (FB) was introduced in Chile, after being used for several years in adults. Aim: To describe our clinical experience in FB in a ten years period. Patients and Methods: Records of procedures done between January 1993 and September 2002 at th...

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Autores principales:	Sánchez D,Ignacio, Pesce A,Caterina, Navarro M,Héctor, Holmgren P,Linus, Bertrand N,Pablo, Alvarez G,Cecilia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Atelectasis Bronchoalveolar lavage Bronchoscopy Pneumonia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001100006
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spelling	oai:scielo:S0034-988720030011000062004-01-27Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricosSánchez D,IgnacioPesce A,CaterinaNavarro M,HéctorHolmgren P,LinusBertrand N,PabloAlvarez G,Cecilia Atelectasis Bronchoalveolar lavage Bronchoscopy Pneumonia Approximately a decade ago, pediatric Flexible Bronchoscopy (FB) was introduced in Chile, after being used for several years in adults. Aim: To describe our clinical experience in FB in a ten years period. Patients and Methods: Records of procedures done between January 1993 and September 2002 at the Pediatric Service of the Catholic University Hospital, were retrospectively reviewed. We evaluated the clinical indications for the procedures in relation to patient's age and the correlation between indications and FB findings. Results: A total of 700 procedures were performed during the period, 59% in men and 53% in patients younger than 1 year. Seventy seven percent of procedures were done in an examination room, using a nasal approach. The main indication was visualization of the airway (49%). The most common clinical diagnosis, in descending order were: atelectasis, stridor and etiologic study of pneumonia by bronchoalveolar lavage (BAL). In children younger than 6 months the most common clinical diagnosis was stridor, followed by atelectasis. The main diagnosis in the whole sample, reached by FB was atelectasis secondary to mucous plug. In children younger than 6 months, the main diagnosis was laryngomalacia. A positive microbial culture was obtained in 43% of patients in whom BAL was done. Complications were uncommon (5%) and mostly mild. In 2.3% of cases, these were severe, such as bronchospasm and need for mechanical ventilation. Severe complications were observed in patients younger than 3 months with severe stridor or in children with cancer, who required FB and BAL. Conclusions: Flexible bronchoscopy is a safe and useful procedure in pediatric patients (Rev Méd Chile 2003; 131: 1266-72)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.11 20032003-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001100006es10.4067/S0034-98872003001100006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Atelectasis Bronchoalveolar lavage Bronchoscopy Pneumonia
spellingShingle	Atelectasis Bronchoalveolar lavage Bronchoscopy Pneumonia Sánchez D,Ignacio Pesce A,Caterina Navarro M,Héctor Holmgren P,Linus Bertrand N,Pablo Alvarez G,Cecilia Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos
description	Approximately a decade ago, pediatric Flexible Bronchoscopy (FB) was introduced in Chile, after being used for several years in adults. Aim: To describe our clinical experience in FB in a ten years period. Patients and Methods: Records of procedures done between January 1993 and September 2002 at the Pediatric Service of the Catholic University Hospital, were retrospectively reviewed. We evaluated the clinical indications for the procedures in relation to patient's age and the correlation between indications and FB findings. Results: A total of 700 procedures were performed during the period, 59% in men and 53% in patients younger than 1 year. Seventy seven percent of procedures were done in an examination room, using a nasal approach. The main indication was visualization of the airway (49%). The most common clinical diagnosis, in descending order were: atelectasis, stridor and etiologic study of pneumonia by bronchoalveolar lavage (BAL). In children younger than 6 months the most common clinical diagnosis was stridor, followed by atelectasis. The main diagnosis in the whole sample, reached by FB was atelectasis secondary to mucous plug. In children younger than 6 months, the main diagnosis was laryngomalacia. A positive microbial culture was obtained in 43% of patients in whom BAL was done. Complications were uncommon (5%) and mostly mild. In 2.3% of cases, these were severe, such as bronchospasm and need for mechanical ventilation. Severe complications were observed in patients younger than 3 months with severe stridor or in children with cancer, who required FB and BAL. Conclusions: Flexible bronchoscopy is a safe and useful procedure in pediatric patients (Rev Méd Chile 2003; 131: 1266-72)
author	Sánchez D,Ignacio Pesce A,Caterina Navarro M,Héctor Holmgren P,Linus Bertrand N,Pablo Alvarez G,Cecilia
author_facet	Sánchez D,Ignacio Pesce A,Caterina Navarro M,Héctor Holmgren P,Linus Bertrand N,Pablo Alvarez G,Cecilia
author_sort	Sánchez D,Ignacio
title	Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos
title_short	Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos
title_full	Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos
title_fullStr	Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos
title_full_unstemmed	Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos
title_sort	experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001100006
work_keys_str_mv	AT sanchezdignacio experienciaen10anosdeaplicaciondefibrobroncoscopiaenpacientespediatricos AT pesceacaterina experienciaen10anosdeaplicaciondefibrobroncoscopiaenpacientespediatricos AT navarromhector experienciaen10anosdeaplicaciondefibrobroncoscopiaenpacientespediatricos AT holmgrenplinus experienciaen10anosdeaplicaciondefibrobroncoscopiaenpacientespediatricos AT bertrandnpablo experienciaen10anosdeaplicaciondefibrobroncoscopiaenpacientespediatricos AT alvarezgcecilia experienciaen10anosdeaplicaciondefibrobroncoscopiaenpacientespediatricos
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Experiencia en 10 años de aplicación de fibrobroncoscopia en pacientes pediátricos

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