Javeed Iqbal Bhat1, Bashir A Charoo2, Shihab Zahoor3, Qazi Iqbal Ahmad3, Ambreen Ali Ahangar4. 1. Department of Pediatrics, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. Correspondence to: Dr Javeed Iqbal Bhat, Department of Pediatrics, SKIMS, Soura, Jammu and Kashmir, India. drjaveediqbal@gmail.com. 2. Department of Pediatrics, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. 3. Department of Pediatrics Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. 4. Department of Anesthesia, Government Medical College, Srinagar, Jammu and Kashmir, India.
Abstract
OBJECTIVE: To assess the usefulness and safety of flexible bronchoscopy in ventilated neonates with extubation failure. METHODS: This was a prospective observational study. Flexible bronchoscopy was done in eligible patients with failure of extubation form invasive ventilation. The main outcome measure was to find the presence of any anatomic or dynamic abnormalities of the airways of these patients and the organism profile of bronchoalveolar lavage (BAL) fluid. RESULTS: Forty-eight babies (68.8% preterm) were enrolled in the study. The most common finding on bronchoscopy was airway edema seen in 13 (27%) patients. BAL culture was positive in 29 (74%) patients. Overall treatment was modified in 35 (73%) patients based on bronchoscopy findings/BAL culture. Majority of infants (83.3%) tolerated the procedure very well. CONCLUSIONS: Flexible bronchoscopy provides useful information in the management of newborn babies with extubation failure.
OBJECTIVE: To assess the usefulness and safety of flexible bronchoscopy in ventilated neonates with extubation failure. METHODS: This was a prospective observational study. Flexible bronchoscopy was done in eligible patients with failure of extubation form invasive ventilation. The main outcome measure was to find the presence of any anatomic or dynamic abnormalities of the airways of these patients and the organism profile of bronchoalveolar lavage (BAL) fluid. RESULTS: Forty-eight babies (68.8% preterm) were enrolled in the study. The most common finding on bronchoscopy was airway edema seen in 13 (27%) patients. BAL culture was positive in 29 (74%) patients. Overall treatment was modified in 35 (73%) patients based on bronchoscopy findings/BAL culture. Majority of infants (83.3%) tolerated the procedure very well. CONCLUSIONS: Flexible bronchoscopy provides useful information in the management of newborn babies with extubation failure.
Authors: Richard A Ehrenkranz; Michele C Walsh; Betty R Vohr; Alan H Jobe; Linda L Wright; Avroy A Fanaroff; Lisa A Wrage; Kenneth Poole Journal: Pediatrics Date: 2005-12 Impact factor: 7.124
Authors: Michele C Walsh; Brenda H Morris; Lisa A Wrage; Betty R Vohr; W Kenneth Poole; Jon E Tyson; Linda L Wright; Richard A Ehrenkranz; Barbara J Stoll; Avroy A Fanaroff Journal: J Pediatr Date: 2005-06 Impact factor: 4.406