| Title | Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease. | | Author(s) | Shah MB, Bent J, Vicencio AG, Veler H, Arens R, Parikh S | | Institution | Department of Otorhinolaryngology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY, United States. | | Source | Int J Pediatr Otorhinolaryngol 2008 Sep 24. | | Abstract | OBJECTIVE: Demonstrate the benefits of a multidisciplinary pediatric airway team prepared to evaluate and treat otolaryngology patients with flexible bronchoscopy.
DESIGN: Case series.
SETTING: Tertiary, academic children's hospital.
PATIENTS: 10 children (5 male, 5 female age range 2 months-16 years) presenting with complex symptoms potentially referable to large airways.
INTERVENTION: Flexible bronchoscopy for diagnostic (bronchoalveolar lavage, ciliary biopsy, assess ongoing surgical intervention, and rule in or rule out foreign body; N=6) or therapeutic (evacuate bronchial mucus plug, laser subglottis when patient has fused cervical spine, and distal instillation [fibrin glue for bronchopleural fistula and dornase alpha for plastic bronchitis]; N=4).
MAIN OUTCOME MEASURE: Retrospectively ask if flexible bronchoscopy and interdisciplinary management improved patient care in these select otolaryngology cases.
RESULTS: 10/10 patients benefited from interdisciplinary management including flexible bronchoscopy.
CONCLUSION: Our experience illustrates many uses for flexible bronchoscopy in otolaryngology patients, and suggests that an airway team prepared to use flexible bronchoscopy will create opportunities for improved patient care. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18819716 |
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