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 |
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container_title | International journal of pediatric otorhinolaryngology |
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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. 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.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2008.08.011</identifier><identifier>PMID: 18819716</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>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</subject><ispartof>International journal of pediatric otorhinolaryngology, 2008-12, Vol.72 (12), p.1771-1776</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2008 Elsevier Ireland Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-55dacf7ca0002ee0937135913e7c67a816a263b6d10f9f7d640b21c9fd5436663</citedby><cites>FETCH-LOGICAL-c415t-55dacf7ca0002ee0937135913e7c67a816a263b6d10f9f7d640b21c9fd5436663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165587608003789$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18819716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Maulik B</creatorcontrib><creatorcontrib>Bent, John P</creatorcontrib><creatorcontrib>Vicencio, Alfin G</creatorcontrib><creatorcontrib>Veler, Haviva</creatorcontrib><creatorcontrib>Arens, Ranaan</creatorcontrib><creatorcontrib>Parikh, Sanjay R</creatorcontrib><title>Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><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.</description><subject>Adolescent</subject><subject>Biopsy</subject><subject>Bronchial Fistula - therapy</subject><subject>Bronchoalveolar Lavage</subject><subject>Bronchoscopy - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Deoxyribonuclease I - administration & dosage</subject><subject>Dilatation</subject><subject>Expectorants - administration & dosage</subject><subject>Female</subject><subject>Fibrin Tissue Adhesive - administration & dosage</subject><subject>Flexible bronchoscopy</subject><subject>Foreign Bodies - diagnosis</subject><subject>Humans</subject><subject>Infant</subject><subject>Laser Therapy</subject><subject>Male</subject><subject>Multidisciplinary</subject><subject>Otolaryngology</subject><subject>Patient Care Team</subject><subject>Pediatric</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Rigid bronchoscopy</subject><subject>Tissue Adhesives - administration & dosage</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU-LFDEQxYMo7rj6DUT65K3Hqu7On74IsuyqsOBBPXkI6aRa02Y6bdKjzrc3zQwIXgwFOeS9l6pfMfYcYY-A4tW099MSU9g3AGq_FeIDtkMlm1p1onvIdkXGa66kuGJPcp4AUALnj9kVKoW9RLFjX-4C_fZDoGpIcbbfYrZxOVVmdpWfV0rOZ-uX4GeTTpWNIZghJrP6OJf3aiHnzZq8rYJJX6kyPv0yp6qYyGR6yh6NJmR6drmv2ee720837-r7D2_f37y5r22HfK05d8aO0hoAaIigbyW2vMeWpBXSKBSmEe0gHMLYj9KJDoYGbT863rVCiPaavTznLin-OFJe9aF0TaXXmeIxa9FLVc4m7M5Cm2LOiUa9JH8ok2kEvUHVkz5D1RtUvRVisb245B-HA7m_pgvFInh9FlCZ8qenpAs0mm2hk8iu2kX_vx_-DbAFubcmfKcT5Ske01wIatS50aA_bovd9goKoJWqb_8A73ugmQ</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Shah, Maulik B</creator><creator>Bent, John P</creator><creator>Vicencio, Alfin G</creator><creator>Veler, Haviva</creator><creator>Arens, Ranaan</creator><creator>Parikh, Sanjay R</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20081201</creationdate><title>Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease</title><author>Shah, Maulik B ; Bent, John P ; Vicencio, Alfin G ; Veler, Haviva ; Arens, Ranaan ; Parikh, Sanjay R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-55dacf7ca0002ee0937135913e7c67a816a263b6d10f9f7d640b21c9fd5436663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Biopsy</topic><topic>Bronchial Fistula - therapy</topic><topic>Bronchoalveolar Lavage</topic><topic>Bronchoscopy - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Deoxyribonuclease I - administration & dosage</topic><topic>Dilatation</topic><topic>Expectorants - administration & dosage</topic><topic>Female</topic><topic>Fibrin Tissue Adhesive - administration & dosage</topic><topic>Flexible bronchoscopy</topic><topic>Foreign Bodies - diagnosis</topic><topic>Humans</topic><topic>Infant</topic><topic>Laser Therapy</topic><topic>Male</topic><topic>Multidisciplinary</topic><topic>Otolaryngology</topic><topic>Patient Care Team</topic><topic>Pediatric</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Rigid bronchoscopy</topic><topic>Tissue Adhesives - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shah, Maulik B</creatorcontrib><creatorcontrib>Bent, John P</creatorcontrib><creatorcontrib>Vicencio, Alfin G</creatorcontrib><creatorcontrib>Veler, Haviva</creatorcontrib><creatorcontrib>Arens, Ranaan</creatorcontrib><creatorcontrib>Parikh, Sanjay R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Maulik B</au><au>Bent, John P</au><au>Vicencio, Alfin G</au><au>Veler, Haviva</au><au>Arens, Ranaan</au><au>Parikh, Sanjay R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>72</volume><issue>12</issue><spage>1771</spage><epage>1776</epage><pages>1771-1776</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>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.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>18819716</pmid><doi>10.1016/j.ijporl.2008.08.011</doi><tpages>6</tpages></addata></record> |
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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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