Abstract
Flexible fiberoptic bronchoscopy a vital diagnostic and therapeutic procedure for assessing the airway. Its logistics, clinical indications and utility need to be elucidated in pediatric context. Pediatric flexible fibreoptic bronchoscopy is useful for diagnosis of airway anomalies, bronchoalveolar lavage for diagnostic and therapeutic purposes, and interventions like foreign body removal. Newer ultra-thin bronchoscopes can be used to perform this procedure in children of all ages. Pediatric flexible bronchoscopy is a valuable diagnostic and therapeutic tool in the hands of skilled personnel when used judiciously.
Article PDF
Similar content being viewed by others
References
Ikeda S. Recording of the endoscopic picture. J Jap Med Instr. 1967;37:291.
Wood RE, Sherman JM. Pediatric flexible bronchoscopy. Ann Otol Rhinol Laryngol. 1980;89:414–6.
Faro A, Wood RE, Schechter MS, Leong AB, Wittkugerl E, Abode K, et al. Official American Thoracic Society technical standards: flexible airway endoscopy in children. Am J Respir Crit Care Med. 2015;191:1066–80.
Wood RE, Boesch RP. Bronchoscopy and bronchoalveolar lavage in pediatric patients. In: Wilmott RW, Boat TF, Bush A, Chernick V, Deterding RR, Ratjen F, editors. Kendig and Chernick’s disorders of the respiratory tract in children. 8th ed. Philadelphia, PA: Elsevier Saunders; 2012. p. 131–44.
Grigg J, van den Borre C, Malfroot A, Pierard D, Wang D, Dab I. Bilateral fiberoptic bronchoalveolar lavage in acute unilateral lobar pneumonia. J Pediatr. 1993;122:606–8.
De Blic. Flexible Bronchoscopy. In: Eber E, Midulla F, editors. ERS Handbook of Pediatric Respiratory Medicine. 1st ed. UK: Charlesworth Press; 2013. p. 132–9.
Stokes DC, Shenep JL, Parham D, Bozeman PM, Marienchek W, Mackert PW. Role of flexible bronchoscopy in the diagnosis of pulmonary infiltrates in pediatric patients with cancer. J Pediatr. 1989;115:561–7.
Sachdev A, Chugh K, Sethi M, Gupta D, Wattal C, Menon G. Diagnosis of ventilator-associated pneumonia in children in resource-limited setting: A comparative study of bronchoscopic and nonbronchoscopic methods. Pediatr Crit Care Med. 2010;11:258–66.
Murgu S, Stoy S. Excessive dynamic airway collapse: A standalone cause of exertional dyspnea? Ann Am Thorac Soc. 2016;13:1437–9.
Nicolai T. The role of rigid and flexible bronchoscopy in children. Paediatr Respir Rev. 2011;12:190–5.
Bar-Zohar D, Sivan Y. The yield of flexible fiberoptic bronchoscopy in pediatric intensive care patients. Chest. 2004;126:1353–9.
Bolliger CT, Mathur PN, Beamis JF, Becker HD, Cavaliere S, Colt H, et al. ERS/ATS Statement on Interventional Pulmonology. European Respiratory Society/American Thoracic Society. Eur Respir J. 2002;19:356–73.
Garg G, Sachdev A, Gupta D. Pulmonary alveolar proteinosis. Indian Pediatr. 2009;46:521–3.
Sachdev A, Anand P, Gupta D. Lipoid pneumonia- An unusual cause of acute respiratory distress syndrome. Indian Pediatr. 2015;52:63–4.
Finer NN. Flexible fiberoptic bronchoscopy. In: Spitzer AR, editors. Intensive care of the fetus and neonate. Mosby, St. Louis, 1996. p. 531–7.
Pandharikar N, Sachdev A, Gupta N, Gupta S, Gupta D. Chest trauma: A case for single lung ventilation. Indian J Crit Care Med. 2016;20:248–50.
Kapoor R, Chandra T, Mendpara H, Gupta R, Garg S. Flexible bronchoscopic removal of foreign bodies from airway of children: Single center experience over 12 years. Indian Pediatr. 2019; 56:560–2.
Salih AM, Alfaki M, Alam-Elhuda DM. Airway foreign bodies: A critical review for a common pediatric emergency. World J Emerg Med. 2016;7:5–12.
Sehgal IS, Bal A, Dhooria S, Gupta N, Ram B, Aggarwal AN, et.al. Predictors of successful yield of transbronchial lung biopsy in patients with sarcoidosis. J Bronchology Interv Pulmonol. 2018:25, 31–6.
Ernst A, Silvestri GA, Johnstone D, American College of Chest Physicians. Interventional Pulmonary Procedures: Guidelines from the American College of Chest Physicians. Chest. 2003;123:1693.
De Roza MA, Quah KH, Tay CK, Toh W, Li H, Kalyanasundaram G, et al. Diagnosis of periphera lung lesions via conventional flexible bronchoscopy with multiplanar CT planning. Pulm Med. 2016;2016:5048961.
Sachdeva A, Chhawchharia R, Gupta D, Gupta N. Flexible fiberopic bronchoscopy directed interventions in neonatal intensive care unit. Indian Pediatr. 2019;56:563–6.
Terkawi RS, Altirkawi KA, Terkawi AS, Mukhtar G, Al-Shamrani A. Flexible bronchoscopy in children: Utility and complications. Int J Pediatr Adolesc Med. 2016;3:18–27.
Funding
Funding: None; Competing interests: None stated.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sachdev, A., Chhawchharia, R. Flexible Fiberoptic Bronchoscopy in Pediatric Practice. Indian Pediatr 56, 587–593 (2019). https://doi.org/10.1007/s13312-019-1559-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13312-019-1559-6