Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease

Summary Objective Demonstrate the benefits of a multidisciplinary pediatric airway team prepared to evaluate and treat otolaryngology patients with flexible bronchoscopy. Design Case series. Setting Tertiary, academic children’s hospital. Patients 10 children (5 male, 5 female age range 2 months–16...

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Veröffentlicht in:International journal of pediatric otorhinolaryngology 2008-12, Vol.72 (12), p.1771-1776
Hauptverfasser: Shah, Maulik B, Bent, John P, Vicencio, Alfin G, Veler, Haviva, Arens, Ranaan, Parikh, Sanjay R
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container_end_page 1776
container_issue 12
container_start_page 1771
container_title International journal of pediatric otorhinolaryngology
container_volume 72
creator Shah, Maulik B
Bent, John P
Vicencio, Alfin G
Veler, Haviva
Arens, Ranaan
Parikh, Sanjay R
description Summary Objective Demonstrate the benefits of a multidisciplinary pediatric airway team prepared to evaluate and treat otolaryngology patients with flexible bronchoscopy. Design Case series. Setting Tertiary, academic children’s hospital. Patients 10 children (5 male, 5 female age range 2 months–16 years) presenting with complex symptoms potentially referable to large airways. Intervention Flexible bronchoscopy for diagnostic (bronchoalveolar lavage, ciliary biopsy, assess ongoing surgical intervention, and rule in or rule out foreign body; N = 6) or therapeutic (evacuate bronchial mucus plug, laser subglottis when patient has fused cervical spine, and distal instillation [fibrin glue for bronchopleural fistula and dornase alpha for plastic bronchitis]; N = 4). Main outcome measure Retrospectively ask if flexible bronchoscopy and interdisciplinary management improved patient care in these select otolaryngology cases. Results 10/10 patients benefited from interdisciplinary management including flexible bronchoscopy. Conclusion Our experience illustrates many uses for flexible bronchoscopy in otolaryngology patients, and suggests that an airway team prepared to use flexible bronchoscopy will create opportunities for improved patient care.
doi_str_mv 10.1016/j.ijporl.2008.08.011
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Design Case series. Setting Tertiary, academic children’s hospital. Patients 10 children (5 male, 5 female age range 2 months–16 years) presenting with complex symptoms potentially referable to large airways. Intervention Flexible bronchoscopy for diagnostic (bronchoalveolar lavage, ciliary biopsy, assess ongoing surgical intervention, and rule in or rule out foreign body; N = 6) or therapeutic (evacuate bronchial mucus plug, laser subglottis when patient has fused cervical spine, and distal instillation [fibrin glue for bronchopleural fistula and dornase alpha for plastic bronchitis]; N = 4). Main outcome measure Retrospectively ask if flexible bronchoscopy and interdisciplinary management improved patient care in these select otolaryngology cases. Results 10/10 patients benefited from interdisciplinary management including flexible bronchoscopy. 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Design Case series. Setting Tertiary, academic children’s hospital. Patients 10 children (5 male, 5 female age range 2 months–16 years) presenting with complex symptoms potentially referable to large airways. Intervention Flexible bronchoscopy for diagnostic (bronchoalveolar lavage, ciliary biopsy, assess ongoing surgical intervention, and rule in or rule out foreign body; N = 6) or therapeutic (evacuate bronchial mucus plug, laser subglottis when patient has fused cervical spine, and distal instillation [fibrin glue for bronchopleural fistula and dornase alpha for plastic bronchitis]; N = 4). Main outcome measure Retrospectively ask if flexible bronchoscopy and interdisciplinary management improved patient care in these select otolaryngology cases. Results 10/10 patients benefited from interdisciplinary management including flexible bronchoscopy. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Biopsy
Bronchial Fistula - therapy
Bronchoalveolar Lavage
Bronchoscopy - methods
Child
Child, Preschool
Deoxyribonuclease I - administration & dosage
Dilatation
Expectorants - administration & dosage
Female
Fibrin Tissue Adhesive - administration & dosage
Flexible bronchoscopy
Foreign Bodies - diagnosis
Humans
Infant
Laser Therapy
Male
Multidisciplinary
Otolaryngology
Patient Care Team
Pediatric
Pediatrics
Retrospective Studies
Rigid bronchoscopy
Tissue Adhesives - administration & dosage
title Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease
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