Abstract
Objective
To describe the utility of flexible fiberoptic bronchoscopy for the diagnosis and management in the neonatal ICU.
Methods
A retrospective, medical chart review was conducted in neonates who underwent flexible fiberoptic bronchoscopy over a period of 7 years. Besides demographic data and diagnostic findings, the results of medical and/or surgical interventions done by treating neonatologist were recorded.
Results
88 bronchoscopies were performed in 83 neonates, of which 37 were done through endotracheal tube. Indications included persistent need for mechanical ventilation (32), persistent atelectasis (21), and stridor (27). Most common airway anomalies diagnosed included tracheobronchomalacia (20), laryngomalacia (18), subglottic stenosis (7), choanal atresia (4), laryngeal cleft (4), and tracheoesophageal fistula (4). Surgical interventions were undertaken in 17 cases (9 tracheostomies and 2 cases of slide tracheoplasty).
Conclusion
Flexible fiberoptic bronchoscopy can be beneficial for the diagnosis and management of neonates with persistent or undiagnosed respiratory problems.
Article PDF
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.Avoid common mistakes on your manuscript.
References
Wood RE, Postma D. Endoscopy of the airway in infants and children. Pediatr. 1988;112:1–6.
Zohar DB, Sivan Y. The yield of flexible fiberoptic bronchoscopy in pediatric intensive care patients. Chest. 2004;126:1353–9.
Vijaysekaran D, Kalpana S, Ramachandran P, Nedunchelian K. Indications and outcome of flexible bronchoscopy in neonates. Indian J Pediatr. 2012; 79:1181–4.
De Blic J., Greenough A, Roberton NRC, Milner AD, eds. Bronchoscopy. In: Neonatal Respiratory Disorders London, Arnold, 1996. p. 89–96.
Midulla F, de Blic J, Barbato A, Bush A, Eber E, Kotecha S. Flexible endoscopy of pediatric airways. Eur Resp J. 2003;22:698–708
Nussbaum E. Usefulness of miniature flexible fiberoptic bronchoscopy in children. Chest. 1994;106:1438–42.
Raine J, Warner JO. Fibreoptic bronchoscopy without general anaesthetic. Arch Dis Child. 1991;66:481–4.
Kabra SK, Lodha R, Ramesh P, Sarthi M. Fiberoptic bronchoscopy in children: An audit from a tertiary care center. Indian Pediatr. 2008;45:917–9.
Terkawi RS, Altirkawi KA, Terkawi AS, Mukhtar G, Al-Shamrani A. Flexible bronchoscopy in children: Utility and complications. Int J Pediatr Adolesc Med. 2016;3:18–27.
Yuan TM, Chen LH, Yu HM. Risk factors and outcomes for ventilator-associated pneumonia in neonatal intensive care unit patients. J Perinat Med. 2007;35:334–8.
Schnapf BM. Oxygen desaturation during fiberoptic bronchoscopy in pediatric patient. Chest. 1991;99:591–4.
Lindahl H, Rintala R, Malinen L, Leijala M, Sairanen H. Bronchoscopy during the first month of life. J Pediatr Surg. 1992;27:548–50.
Funding
Funding: None; Competing interests: None stated.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sachdev, A., Chhawchharia, R., Gupta, D. et al. Flexible Fiberoptic Bronchoscopy Directed Interventions in Neonatal Intensive Care Unit. Indian Pediatr 56, 563–565 (2019). https://doi.org/10.1007/s13312-019-1555-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13312-019-1555-x