Fiberoptic Bronchoscopy in the Treatment of Intubated Neonates

作者: Eric S. Shinwell

DOI: 10.1001/ARCHPEDI.1989.02150210098026

关键词: Tip positionClinical significanceMedicineDiagnostic BronchoscopyAnesthesiaFiberoptic bronchoscopyEndotracheal tubeAirway diseaseSurgeryMechanical ventilationHigh incidence

摘要: • A study of the role fiberoptic bronchoscopy in intubated neonates was conducted. The aimed to ascertain applicability for assessment endotracheal tube tip position, and assess incidence clinical significance airway disease unselected patients. Seventy examinations on 65 were performed without interruption mechanical ventilation. procedure well tolerated all cases. accuracy bronchoscopic measurement position improved markedly with user experience reached a correlation of.96 chest roentgenogram. Although technique safe accurate, need available skilled personnel may limit this method assessment. Significant requiring change treatment found 13 patients (19%). This high significant but clinically unsuspected suggests that there should be more frequent consideration diagnostic sick who are at risk disease. (AJDC. 1989;143:1064-1065)

参考文章(3)
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Leland L. Fan, Loretta M. Sparks, JoAnne P. Dulinski, Applications of an Ultrathin Flexible Bronchoscope for Neonatal and Pediatric Airway Problems Chest. ,vol. 89, pp. 673- 676 ,(1986) , 10.1378/CHEST.89.5.673