OBJECTIVE: To analyse the indications, safety and outcome of flexible fiberoptic bronchoscopy (FOB) in neonates. METHODS: This descriptive study was conducted in Level III neonatal unit (ICH, Chennai) and included 84 neonates with various respiratory problems admitted over a 3 y period. RESULTS: The indications included stridor (18%), persistent radiological abnormalities (44%), unexplained wheeze/respiratory distress (21%) and others (17%). The mean age and weight were 25 d and 2.82 kg respectively. Bronchoscopy detected various anomalies like upper airway anomalies (10.7%), lower airway malacia (21%), synchronous airway malacias (19%) and miscellaneous anatomical abnormalities (18%). Bronchoalveolar lavage was done in 62% with microbiological yield in 54% cases.FOB helped in the revision of diagnosis in 57%. Resolution of atelectasis was observed in 13.5% cases. Except for transient hypoxemia in 2 neonates, no other complication was encountered. CONCLUSIONS: Flexible bronchoscopy is safe and useful both as diagnostic and therapeutic tool in neonates with respiratory problems.
OBJECTIVE: To analyse the indications, safety and outcome of flexible fiberoptic bronchoscopy (FOB) in neonates. METHODS: This descriptive study was conducted in Level III neonatal unit (ICH, Chennai) and included 84 neonates with various respiratory problems admitted over a 3 y period. RESULTS: The indications included stridor (18%), persistent radiological abnormalities (44%), unexplained wheeze/respiratory distress (21%) and others (17%). The mean age and weight were 25 d and 2.82 kg respectively. Bronchoscopy detected various anomalies like upper airway anomalies (10.7%), lower airway malacia (21%), synchronous airway malacias (19%) and miscellaneous anatomical abnormalities (18%). Bronchoalveolar lavage was done in 62% with microbiological yield in 54% cases.FOB helped in the revision of diagnosis in 57%. Resolution of atelectasis was observed in 13.5% cases. Except for transient hypoxemia in 2 neonates, no other complication was encountered. CONCLUSIONS: Flexible bronchoscopy is safe and useful both as diagnostic and therapeutic tool in neonates with respiratory problems.
Authors: Ruben Boogaard; Sjoerd H Huijsmans; Marielle W H Pijnenburg; Harm A W M Tiddens; Johan C de Jongste; Peter J F M Merkus Journal: Chest Date: 2005-11 Impact factor: 9.410
Authors: D Vijayasekaran; N C Gowrishankar; S Kalpana; V E Vivekanandan; M S Balakrishnan; Saradha Suresh Journal: Indian J Pediatr Date: 2010-03-19 Impact factor: 1.967
Authors: F Midulla; J de Blic; A Barbato; A Bush; E Eber; S Kotecha; E Haxby; C Moretti; P Pohunek; F Ratjen Journal: Eur Respir J Date: 2003-10 Impact factor: 16.671
Authors: Ammar Saadoon; Namasivayam Ambalavanan; Kurt Zinn; Ambika P Ashraf; Mark MacEwen; Teodora Nicola; Michelle V Fanucchi; William T Harris Journal: Am J Respir Cell Mol Biol Date: 2017-03 Impact factor: 6.914