Paediatric flexible bronchoscopy and its indications

Hdl Handle:
http://hdl.handle.net/10147/122511
Title:
Paediatric flexible bronchoscopy and its indications
Authors:
Carroll, C; Slattery, PM
Affiliation:
Department of Respiratory Medicine, Children's University hospital, Temple St, Dublin 1
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
2010
URI:
http://hdl.handle.net/10147/122511
Item Type:
Article
Language:
en
Description:
Paediatric flexible bronchoscopy (F.B.) with bronchoalveolar lavage (B.A.L.) is an increasingly important investigation. Retrospective review of 180 FB performed over a 5 year period by a single operator was undertaken. Common indications included recurrent lower respiratory tract infections (n=92, 51%), persistent atelectasis (n=43, 24%), persistent infiltrates (n=18, 10%) and persistent consolidation (n=17, 9%). Normal airway anatomy was identified in the majority (n=154, 85.5%). Bronchomalacia was identified in 22 cases (12%). Thick purulent secretions were seen in 40 bronchoscopies (22%). Commonest organisms cultured on BAL were H. influenza (n=22, 12.2%), Streptococcus Pneumoniae (n=18, 10%) and Staph aureus (n=9, 5%). Cytomegalo virus (C.M.V.), (n= 4, 2%), candida (n=1, 0.5%) and aspergillus fumigatus were identified (n=7, 4%). Bronchoscopic findings frequently guided management (n=90, 51%). No significant complications occurred. Flexible bronchoscopy procedure, patient and equipment care were in adherence with best practice guidelines. Paediatric F.B. is a safe and useful procedure when clinically indicated.
Keywords:
PAEDIATRICS; RESPIRATORY DISORDER
Local subject classification:
FLEXIBLE BRONCHOSCOPY (F.B.)

Full metadata record

DC FieldValue Language
dc.contributor.authorCarroll, Cen
dc.contributor.authorSlattery, PMen
dc.date.accessioned2011-02-21T10:11:53Z-
dc.date.available2011-02-21T10:11:53Z-
dc.date.issued2010-
dc.identifier.urihttp://hdl.handle.net/10147/122511-
dc.descriptionPaediatric flexible bronchoscopy (F.B.) with bronchoalveolar lavage (B.A.L.) is an increasingly important investigation. Retrospective review of 180 FB performed over a 5 year period by a single operator was undertaken. Common indications included recurrent lower respiratory tract infections (n=92, 51%), persistent atelectasis (n=43, 24%), persistent infiltrates (n=18, 10%) and persistent consolidation (n=17, 9%). Normal airway anatomy was identified in the majority (n=154, 85.5%). Bronchomalacia was identified in 22 cases (12%). Thick purulent secretions were seen in 40 bronchoscopies (22%). Commonest organisms cultured on BAL were H. influenza (n=22, 12.2%), Streptococcus Pneumoniae (n=18, 10%) and Staph aureus (n=9, 5%). Cytomegalo virus (C.M.V.), (n= 4, 2%), candida (n=1, 0.5%) and aspergillus fumigatus were identified (n=7, 4%). Bronchoscopic findings frequently guided management (n=90, 51%). No significant complications occurred. Flexible bronchoscopy procedure, patient and equipment care were in adherence with best practice guidelines. Paediatric F.B. is a safe and useful procedure when clinically indicated.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectPAEDIATRICSen
dc.subjectRESPIRATORY DISORDERen
dc.subject.otherFLEXIBLE BRONCHOSCOPY (F.B.)en
dc.titlePaediatric flexible bronchoscopy and its indicationsen
dc.typeArticleen
dc.contributor.departmentDepartment of Respiratory Medicine, Children's University hospital, Temple St, Dublin 1en
dc.identifier.journalIrish Medical Journalen
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