Naslov
Flexible bronchoscopy in children

Autori
Pavlov, Neven ; Meštrović, Julije ; Stričević, Luka ; Omazić, Ante ; Dragišić-Ivulić, Slavica ; Polić, Branka

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
European Respiratory Journal / European Respiratory Society - Kopenhagen : European Respiratory Society, 2005, 630-630

Skup
15th ERS Annual Congress

Mjesto i datum
Kopenhagen, Danska, 17.09.2005. - 21.09.2005

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
flexible bronchoscopy; children; anesthesia

Sažetak
Aim: To evaluate characteristics of flexible bronchoscopy (FB) in children. Methods: analysis of 214 FB (Fujinon YP-2, Olympus BF-XP 40) in the Pediatric Clinic and PICU during the years 1999-2005. Results: Average age 8.3±5.1 years. Main indications were bronchopneumonia 84(39%), TB 29(14%), atelectasis 21(10%), aspiration of a foreign body 18(8%) and polytrauma 15(7%). Main method of anesthesia was deep sedation (Fentanyl, Midazolam) in 98(46%) then local anesthesia (Lidocain) 97(45%) and general anesthesia in 14 children (6%). Bronchoscope was mostly introduced transnasally in 136 (64%), orally 33(15%) and through a ET tube in 24(11%) children. Frequent results were hyperemia of mucosa 125(58%), hypersecretion 97(45%), oedema of mucosa 35(16%), pus secretion 34(16%), narrowed and blocked airways 29 (14%) and bleeding 14 (7%). Bronchoscopic biopsy revealed one NonHodgkin lymphoma of bronchi. Microbiology results: predominantly Pseudomonas aeruginosa 15(7%), Staphylococcus aureus 11(5%), Klebsiella pneumoniae 7(3%), Haemophilus influenzae 6(3%). One sample was positive for acidoresistant bacilli and Mycobacterium tuberculosis. Complications: One pneumothorax, 2 cases of bigeminia. Conclusion: FB is a reliable method of diagnosing and treatment of pediatric pulmonary patients. The most acceptable methods in children are with local anesthetics and deep sedation.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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