Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: A report on 5 years of experience
Objective To evaluate the clinical role of flexible bronchoscopy (FB) in pediatric and neonatal intensive care units (ICUs). Design A retrospective review of all patients receiving FB procedures between January 2005 and December 2009. Setting Pediatric and neonatal ICUs of a tertiary care multi‐disc...
Gespeichert in:
| Veröffentlicht in: | Pediatric pulmonology 2011-10, Vol.46 (10), p.1031-1037 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1037 |
|---|---|
| container_issue | 10 |
| container_start_page | 1031 |
| container_title | Pediatric pulmonology |
| container_volume | 46 |
| creator | Peng, Yu-Yun Soong, Wen-Jue Lee, Yu-Sheng Tsao, Pei-Chen Yang, Chia-Feng Jeng, Mei-Jy |
| description | Objective
To evaluate the clinical role of flexible bronchoscopy (FB) in pediatric and neonatal intensive care units (ICUs).
Design
A retrospective review of all patients receiving FB procedures between January 2005 and December 2009.
Setting
Pediatric and neonatal ICUs of a tertiary care multi‐disciplinary teaching hospital located in northern Taiwan.
Patients
A total of 358 ICU patients (223 males) who received 725 FB procedures.
Measurements and Main Results
The medical records were reviewed and analyzed. Mean age for the first time FB was 35.7 (±48.9 SD) months old and 68.2% of them were |
| doi_str_mv | 10.1002/ppul.21464 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_892950427</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>892950427</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4624-bc4229227065f8436f17a8f69d619f46bdfec555a8fa8fceb5c61cb5cf3dd4623</originalsourceid><addsrcrecordid>eNp9kMFu1DAQhiMEokvhwgMgXxASUort2E7CrSq0IFalh1ZIvViOM6YGb-zaTtl9Bl4aL7stN6TRjGbmm3-kv6peEnxEMKbvQpjdESVMsEfVguC-rzHrxeNq0bWc16ITzUH1LKUfGJddT55WB5QIKlpCF9XvUwdrOzhAQ_STvvFJ-7BBKiGF7pSb1XY1WvV98ilbjdQ0onwDUQWYt3323iE7oQAFyrFM7JRhSvYOkFYRUFDZwpTTe3SMIgQfM_IT4mgDKibkDYJ1gFgQDc-rJ0a5BC_29bC6Ov14efKpXn49-3xyvKw1E5TVg2aU9pS2WHDTsUYY0qrOiH4UpDdMDKMBzTkvsxIaBq4F0SWbZhyLQnNYvdnphuhvZ0hZrmzS4JyawM9Jdj3tOWa0LeTbHamjTymCkSHalYobSbDcei-33su_3hf41V52HlYwPqD3Zhfg9R5QSStnopq0Tf84xgVve1w4suN-WQeb_7yUFxdXy_vn9e7GpgzrhxsVf0rRNi2X387P5PUHQi7b6y_yvPkDa5WuDw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>892950427</pqid></control><display><type>article</type><title>Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: A report on 5 years of experience</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Peng, Yu-Yun ; Soong, Wen-Jue ; Lee, Yu-Sheng ; Tsao, Pei-Chen ; Yang, Chia-Feng ; Jeng, Mei-Jy</creator><creatorcontrib>Peng, Yu-Yun ; Soong, Wen-Jue ; Lee, Yu-Sheng ; Tsao, Pei-Chen ; Yang, Chia-Feng ; Jeng, Mei-Jy</creatorcontrib><description>Objective
To evaluate the clinical role of flexible bronchoscopy (FB) in pediatric and neonatal intensive care units (ICUs).
Design
A retrospective review of all patients receiving FB procedures between January 2005 and December 2009.
Setting
Pediatric and neonatal ICUs of a tertiary care multi‐disciplinary teaching hospital located in northern Taiwan.
Patients
A total of 358 ICU patients (223 males) who received 725 FB procedures.
Measurements and Main Results
The medical records were reviewed and analyzed. Mean age for the first time FB was 35.7 (±48.9 SD) months old and 68.2% of them were <3 years old. Among them, unexplained retraction or tachypnea (32.0%) and stridor (20.1%) were the two leading indications for FB. The positive finding rate of FB was 87.2%, with airway malacia (47.8%) being the most common, especially in patients <3 years old. Positive lesion sites were approximately equally distributed between the upper (51.1%) and lower (50.6%) airways. Concomitant findings in the esophagus were found in 15.4% of the patients. There were 518 interventional FBs (71.4%, 518/725 procedures) which were performed on 201 (56.1%, 201/358) patients; FB‐aided endotracheal intubation (180/518, 34.7%) and laser therapy (109/518, 21.0%) were the two leading techniques used. No patient suffered from any long‐term complications or mortality associated with the FB procedures.
Conclusions
FB is a safe and valuable diagnostic and therapeutic tool for patients in pediatric and neonatal ICUs. Pediatr. Pulmonol. 2011; 46:1031–1037. © 2011 Wiley‐Liss, Inc.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.21464</identifier><identifier>PMID: 21626712</identifier><identifier>CODEN: PEPUES</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Biological and medical sciences ; Bronchoscopes ; Bronchoscopy ; Child ; Child, Preschool ; Critical Care - methods ; Equipment Design ; Female ; flexible endoscopy ; General aspects ; Humans ; Infant ; Infant, Newborn ; intensive care ; Intensive Care Units, Pediatric ; interventional bronchoscopy ; Male ; Medical sciences ; Pneumology ; Retrospective Studies ; Time Factors</subject><ispartof>Pediatric pulmonology, 2011-10, Vol.46 (10), p.1031-1037</ispartof><rights>Copyright © 2011 Wiley‐Liss, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4624-bc4229227065f8436f17a8f69d619f46bdfec555a8fa8fceb5c61cb5cf3dd4623</citedby><cites>FETCH-LOGICAL-c4624-bc4229227065f8436f17a8f69d619f46bdfec555a8fa8fceb5c61cb5cf3dd4623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fppul.21464$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fppul.21464$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24565790$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21626712$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peng, Yu-Yun</creatorcontrib><creatorcontrib>Soong, Wen-Jue</creatorcontrib><creatorcontrib>Lee, Yu-Sheng</creatorcontrib><creatorcontrib>Tsao, Pei-Chen</creatorcontrib><creatorcontrib>Yang, Chia-Feng</creatorcontrib><creatorcontrib>Jeng, Mei-Jy</creatorcontrib><title>Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: A report on 5 years of experience</title><title>Pediatric pulmonology</title><addtitle>Pediatr. Pulmonol</addtitle><description>Objective
To evaluate the clinical role of flexible bronchoscopy (FB) in pediatric and neonatal intensive care units (ICUs).
Design
A retrospective review of all patients receiving FB procedures between January 2005 and December 2009.
Setting
Pediatric and neonatal ICUs of a tertiary care multi‐disciplinary teaching hospital located in northern Taiwan.
Patients
A total of 358 ICU patients (223 males) who received 725 FB procedures.
Measurements and Main Results
The medical records were reviewed and analyzed. Mean age for the first time FB was 35.7 (±48.9 SD) months old and 68.2% of them were <3 years old. Among them, unexplained retraction or tachypnea (32.0%) and stridor (20.1%) were the two leading indications for FB. The positive finding rate of FB was 87.2%, with airway malacia (47.8%) being the most common, especially in patients <3 years old. Positive lesion sites were approximately equally distributed between the upper (51.1%) and lower (50.6%) airways. Concomitant findings in the esophagus were found in 15.4% of the patients. There were 518 interventional FBs (71.4%, 518/725 procedures) which were performed on 201 (56.1%, 201/358) patients; FB‐aided endotracheal intubation (180/518, 34.7%) and laser therapy (109/518, 21.0%) were the two leading techniques used. No patient suffered from any long‐term complications or mortality associated with the FB procedures.
Conclusions
FB is a safe and valuable diagnostic and therapeutic tool for patients in pediatric and neonatal ICUs. Pediatr. Pulmonol. 2011; 46:1031–1037. © 2011 Wiley‐Liss, Inc.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Bronchoscopes</subject><subject>Bronchoscopy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Critical Care - methods</subject><subject>Equipment Design</subject><subject>Female</subject><subject>flexible endoscopy</subject><subject>General aspects</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>intensive care</subject><subject>Intensive Care Units, Pediatric</subject><subject>interventional bronchoscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pneumology</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFu1DAQhiMEokvhwgMgXxASUort2E7CrSq0IFalh1ZIvViOM6YGb-zaTtl9Bl4aL7stN6TRjGbmm3-kv6peEnxEMKbvQpjdESVMsEfVguC-rzHrxeNq0bWc16ITzUH1LKUfGJddT55WB5QIKlpCF9XvUwdrOzhAQ_STvvFJ-7BBKiGF7pSb1XY1WvV98ilbjdQ0onwDUQWYt3323iE7oQAFyrFM7JRhSvYOkFYRUFDZwpTTe3SMIgQfM_IT4mgDKibkDYJ1gFgQDc-rJ0a5BC_29bC6Ov14efKpXn49-3xyvKw1E5TVg2aU9pS2WHDTsUYY0qrOiH4UpDdMDKMBzTkvsxIaBq4F0SWbZhyLQnNYvdnphuhvZ0hZrmzS4JyawM9Jdj3tOWa0LeTbHamjTymCkSHalYobSbDcei-33su_3hf41V52HlYwPqD3Zhfg9R5QSStnopq0Tf84xgVve1w4suN-WQeb_7yUFxdXy_vn9e7GpgzrhxsVf0rRNi2X387P5PUHQi7b6y_yvPkDa5WuDw</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>Peng, Yu-Yun</creator><creator>Soong, Wen-Jue</creator><creator>Lee, Yu-Sheng</creator><creator>Tsao, Pei-Chen</creator><creator>Yang, Chia-Feng</creator><creator>Jeng, Mei-Jy</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><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></search><sort><creationdate>201110</creationdate><title>Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: A report on 5 years of experience</title><author>Peng, Yu-Yun ; Soong, Wen-Jue ; Lee, Yu-Sheng ; Tsao, Pei-Chen ; Yang, Chia-Feng ; Jeng, Mei-Jy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4624-bc4229227065f8436f17a8f69d619f46bdfec555a8fa8fceb5c61cb5cf3dd4623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Bronchoscopes</topic><topic>Bronchoscopy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Critical Care - methods</topic><topic>Equipment Design</topic><topic>Female</topic><topic>flexible endoscopy</topic><topic>General aspects</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>intensive care</topic><topic>Intensive Care Units, Pediatric</topic><topic>interventional bronchoscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pneumology</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peng, Yu-Yun</creatorcontrib><creatorcontrib>Soong, Wen-Jue</creatorcontrib><creatorcontrib>Lee, Yu-Sheng</creatorcontrib><creatorcontrib>Tsao, Pei-Chen</creatorcontrib><creatorcontrib>Yang, Chia-Feng</creatorcontrib><creatorcontrib>Jeng, Mei-Jy</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><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><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peng, Yu-Yun</au><au>Soong, Wen-Jue</au><au>Lee, Yu-Sheng</au><au>Tsao, Pei-Chen</au><au>Yang, Chia-Feng</au><au>Jeng, Mei-Jy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: A report on 5 years of experience</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr. Pulmonol</addtitle><date>2011-10</date><risdate>2011</risdate><volume>46</volume><issue>10</issue><spage>1031</spage><epage>1037</epage><pages>1031-1037</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><coden>PEPUES</coden><abstract>Objective
To evaluate the clinical role of flexible bronchoscopy (FB) in pediatric and neonatal intensive care units (ICUs).
Design
A retrospective review of all patients receiving FB procedures between January 2005 and December 2009.
Setting
Pediatric and neonatal ICUs of a tertiary care multi‐disciplinary teaching hospital located in northern Taiwan.
Patients
A total of 358 ICU patients (223 males) who received 725 FB procedures.
Measurements and Main Results
The medical records were reviewed and analyzed. Mean age for the first time FB was 35.7 (±48.9 SD) months old and 68.2% of them were <3 years old. Among them, unexplained retraction or tachypnea (32.0%) and stridor (20.1%) were the two leading indications for FB. The positive finding rate of FB was 87.2%, with airway malacia (47.8%) being the most common, especially in patients <3 years old. Positive lesion sites were approximately equally distributed between the upper (51.1%) and lower (50.6%) airways. Concomitant findings in the esophagus were found in 15.4% of the patients. There were 518 interventional FBs (71.4%, 518/725 procedures) which were performed on 201 (56.1%, 201/358) patients; FB‐aided endotracheal intubation (180/518, 34.7%) and laser therapy (109/518, 21.0%) were the two leading techniques used. No patient suffered from any long‐term complications or mortality associated with the FB procedures.
Conclusions
FB is a safe and valuable diagnostic and therapeutic tool for patients in pediatric and neonatal ICUs. Pediatr. Pulmonol. 2011; 46:1031–1037. © 2011 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21626712</pmid><doi>10.1002/ppul.21464</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 8755-6863 |
| ispartof | Pediatric pulmonology, 2011-10, Vol.46 (10), p.1031-1037 |
| issn | 8755-6863 1099-0496 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_892950427 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Biological and medical sciences Bronchoscopes Bronchoscopy Child Child, Preschool Critical Care - methods Equipment Design Female flexible endoscopy General aspects Humans Infant Infant, Newborn intensive care Intensive Care Units, Pediatric interventional bronchoscopy Male Medical sciences Pneumology Retrospective Studies Time Factors |
| title | Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: A report on 5 years of experience |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T10%3A26%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Flexible%20bronchoscopy%20as%20a%20valuable%20diagnostic%20and%20therapeutic%20tool%20in%20pediatric%20intensive%20care%20patients:%20A%20report%20on%205%20years%20of%20experience&rft.jtitle=Pediatric%20pulmonology&rft.au=Peng,%20Yu-Yun&rft.date=2011-10&rft.volume=46&rft.issue=10&rft.spage=1031&rft.epage=1037&rft.pages=1031-1037&rft.issn=8755-6863&rft.eissn=1099-0496&rft.coden=PEPUES&rft_id=info:doi/10.1002/ppul.21464&rft_dat=%3Cproquest_cross%3E892950427%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=892950427&rft_id=info:pmid/21626712&rfr_iscdi=true |