Medizinische Universität Graz - Research portal
Selected Publication:
Eber, E; Zach, M.
Flexible fiberoptic bronchoscopy in pediatrics--an analysis of 420 examinations
WIEN KLIN WOCHENSCHR 1995 107: 246-251.
Web of Science
PubMed
- Leading authors Med Uni Graz
- Eber Ernst
- Co-authors Med Uni Graz
- Zach Maximilian
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- Abstract:
- Over a 4-year period we performed 420 endoscopic investigations in 262 patients (aged 1 day-26 yrs) under sedation and local anesthesia, using several different flexible instruments; repeat procedures were performed in 58 children. The most common indications for diagnostic endoscopy were tracheostomy evaluation (27.1%), non-specific chest x-ray changes (13.8%), stridor (12.4%), atelectasis (7.9%), and the sampling of airway secretions or cells by bronchoalveolar lavage (5.5%); indications for 17 therapeutic endoscopies (4%) included the removal of airway secretions and mucus plugs, and aid in difficult intubations. Bronchomalacia (46X), tracheomalacia (41X), obstructing granulation tissue (36X), and laryngomalacia (35X) were the most common diagnoses; in addition, subglottic stenosis was found in 13, a subglottic hemangioma in 5, vocal cord paralysis in 5 and an endobronchial foreign body in 5 children. Findings were normal in 39 (9.3%) cases. A relevant diagnosis was established on 73.7% of all investigations. The diagnostic yield was highest in patients with stridor, persistent wheezing, atelectasis, non-specific chest x-ray changes, and in patients with a tracheostomy. The success rate of therapeutic procedures was 70.6%. Minor complications occurred in altogether 4.3% of cases; all were completely and rapidly reversible. Flexible fiberoptic bronchoscopy is a safe and valuable diagnostic and therapeutic tool for the management of infants and children with respiratory problems.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Airway Obstruction - etiology
- Bronchoscopes - etiology
- Child - etiology
- Child, Preschool - etiology
- Diagnosis, Differential - etiology
- Equipment Design - etiology
- Female - etiology
- Fiber Optics - instrumentation
- Humans - instrumentation
- Infant - instrumentation
- Infant, Newborn - instrumentation
- Male - instrumentation
- Respiratory Sounds - etiology
- Respiratory Tract Diseases - complications
- Respiratory Tract Neoplasms - complications
- Tracheostomy - instrumentation
- Find related publications in this database (Keywords)
- Flexible Fiberoptic Bronchoscopy
- Pediatric Patients