A ten years experience in flexible bronchoscopy in pediatric patients

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dc.contributor.authorSanchez, I
dc.contributor.authorPesce, C
dc.contributor.authorNavarro, H
dc.contributor.authorHolmgren, L
dc.contributor.authorBertrand, P
dc.contributor.authorAlvarez, C
dc.date.accessioned2025-04-15T10:30:06Z
dc.date.available2025-04-15T10:30:06Z
dc.date.issued2003
dc.description.abstractBackground: Approximately a decade ago, pediatric flexible Bronchoscopy (FB) was introduced in Chile, after being used for several years in adults. Aim: To describe our clinical experience in FB in a ten year period. Patients and Methods: Records of procedures done between January 1993 and September 2002 at The Pediatric Service of the Catholic University Hospital, were retrospectively reviewed. We evaluated the clinical indications for the procedures in relation to patients age and the correlation between indications and FB findings. Results: A total of 700 procedures were performed during the period, 59% in men and 53% in patients younger than 1 year Seventy seven percent of procedures were done in an examination room, using a nasal approach. The main indication was visualization of the airway (49%). The most common clinical diagnosis, in descending order were: atelectasis, stridor and etiologic study of pneumonia by bronchoalveolar lavage (BAL). In children younger than 6 months the most common clinical diagnosis was stridor followed by atelectasis. The main diagnosis in the whole sample, reached by FB was atelectasis secondary to mucous plug. In children younger than 6 months, the main diagnosis was laryngomalacia . A positive microbial culture was obtained in 43% patients in whom BAL was done. Complications were uncommon (5%) and mostly mild. In 2.3% of cases, these were severe , such as bronchospasm and need,for mechanical ventilation. Severe complications were observed in patients younger than 3 months with severe stridor or in children with cancer, who required FB and BAL. Conclusions: Flexible bronchoscopy is a safe and useful procedure in pediatric patients.
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.doi10.4067/S0034-98872003001100006
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:14743687
dc.identifier.urihttps://doi.org/10.4067/S0034-98872003001100006
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103245
dc.identifier.wosidWOS:000187912000006
dc.information.autorucEscuela de Medicina; Sanchez Diaz, Ignacio; S/I; 52710
dc.information.autorucEscuela de Medicina; Pesce Aron, Caterina Carla; S/I; 3676
dc.information.autorucEscuela de Medicina; Holmgren Palmen, Nils Linus Anders; S/I; 60665
dc.information.autorucEscuela de Medicina; Bertrand Navarrete, Pablo Jose; 0000-0002-7736-0296; 77715
dc.information.autorucEscuela de Medicina; Alvarez Garrido, Cecilia Paz; S/I; 72151
dc.issue.numero11
dc.language.isoes
dc.nota.accesoSin adjunto
dc.pagina.final1272
dc.pagina.inicio1266
dc.relation.ispartof52nd Annual Meeting of the Society-for-Psychophysiological-Research, SEP 19-23, 2012, New Orleans, LA
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsregistro bibliográfico
dc.subjectatelectasis
dc.subjectbronchoalveolar lavage
dc.subjectbronchoscopy
dc.subjectpneumonia
dc.subjectFIBEROPTIC BRONCHOSCOPY
dc.subjectBRONCHOALVEOLAR LAVAGE
dc.subjectCHILDREN
dc.subjectTRACHEOMALACIA
dc.subjectLARYNGOMALACIA
dc.subjectENDOSCOPY
dc.subjectAIRWAY
dc.subject.ddc100
dc.subject.deweyFilosofíaes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA ten years experience in flexible bronchoscopy in pediatric patients
dc.typeartículo
dc.volumen131
sipa.codpersvinculados52710
sipa.codpersvinculados3676
sipa.codpersvinculados60665
sipa.codpersvinculados77715
sipa.codpersvinculados72151
sipa.indexWOS
sipa.indexPubmed
sipa.trazabilidadCarga WOS-SCOPUS;15-04-2025
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