Safety and Efficacy of Flexible Endoscopy in Children With Bronchopulmonary Dysplasia

摘要: • Because concern has been raised about the efficacy and safety of flexible fiberoptic bronchoscopy (FFB) in pediatric patients with chronic cardiopulmonary disorders, we reviewed results 129 endoscopies performed on 47 children a history bronchopulmonary dysplasia (BPD) at our institution over 44-month period. Indications for FFB; weight age patient; procedure format, including medication usage, findings, specimen results, complications, were analyzed. Evaluation previously diagnosed subglottic stenosis airway abnormalities two most common indications (33% 32%, respectively). Persistent or recurrent infiltrates atelectasis, need cultures, stridor, failure to extubate, hoarseness, persistent wheeze also cited. Endoscopic diagnoses included adenoidal hypertrophy, laryngomalacia, vocal cord abnormalities, interarytenoid membrane, stenosis, granulomas, tracheobronchomalacia, obstruction, generalized inflammation/edema, polyps, tracheal bronchi, anomalous bronchial anatomy. Cytomegalovirus, pneumococcus, nontypeable Haemophilus influenzae, Pseudomonas , mixed gram-negative flora isolated from some without tracheostomy. Minor complications (transient bradycardia, mild nasopharyngeal bleeding, worsening upper obstruction) occurred 3.1% procedures, but no severe occurred. Management was directly affected by 41% procedures. We concluded that FFB can be safe, useful management BPD. ( AJDC 1988;142:1225-1228)