Download PDF
J Pediatr Intensive Care
DOI: 10.1055/s-0044-1791673
Original Article

Utility of Flexible Bronchoscopy as an Interventional Tool in Children: A Single-Center Cross-Sectional Study

Authors

  • Javeed Iqbal Bhat

    1   Department of Pediatrics, SKIMS, Soura, Jammu and Kashmir, India

  • Zubair Mushtaq Tramboo

    1   Department of Pediatrics, SKIMS, Soura, Jammu and Kashmir, India

  • Shahan Iqbal Zargar

    1   Department of Pediatrics, SKIMS, Soura, Jammu and Kashmir, India

  • Shadab Maqsood

    2   Department of Radiodiagnosis, SKIMS, Soura, Jammu and Kashmir, India

  • Bashir Ahmad Charoo

    1   Department of Pediatrics, SKIMS, Soura, Jammu and Kashmir, India

Funding None.
Further Information
Also available at
  Permissions and Reprints

Abstract

The aim of this study was to study the utility of pediatric flexible bronchoscopy as an interventional tool. This is a prospective study conducted in a tertiary care hospital. The studied patients underwent flexible bronchoscopy for various diagnostic and therapeutic reasons. The endpoint was to document the type of therapeutic procedure done in a patient, success rate, and any procedural complications encountered. During the 7-year period, a total of 824 different bronchoscopic procedures were conducted. The majority of procedures were for diagnostic reasons. A total of 68 therapeutic procedures were performed successfully, which included foreign body retrieval in 46 patients, bronchoscopic intubation in 5 patients, transbronchial needle aspiration (TBNA) in 4 patients, dilatation of tracheal stenosis in 4 patients, mucus plug removal in 3 patients for lung collapse, postoperative hydatid membrane removal in 3 patients, whole lung lavage in 2 patients, and transbronchial needle biopsy (TBNB) for suspected fibrosing mediastinitis in 1 patient. The 7-year audit of therapeutic role of flexible bronchoscopy (FB) in children revealed that the procedure is safe and can be utilized for many therapeutic procedures in children, including removal of aspirated foreign bodies, bronchoscopic intubation, dilatation of tracheal stenosis, treatment of atelectasis, and collection of biopsy specimens from the mediastinum. The procedure is safe and carried no major complication rate.

Keywords

children - flexible bronchoscopy - intervention

Authors' Contributions

J.I.B. and S.I.Z. conceived the idea of the study and wrote the manuscript. S.M. was involved in sample collection. Z.M.T. analyzed the data. B.A.C. supervised the implementation of the study and contributed to writing of the manuscript. All the authors approved the final version of the manuscript, and are accountable for all aspects related to the study.




Publication History

Received: 26 May 2024

Accepted: 04 September 2024

Article published online:
23 October 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany