Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease

Maulik B. Shah, John P. Bent, Alfin G. Vicencio, Haviva Veler, Raanan Arens, Sanjay R. Parikh

Research output: Contribution to journalArticle

11 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1771-1776
Number of pages6
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume72
Issue number12
DOIs
StatePublished - Dec 2008

Fingerprint

Bronchoscopy
Pediatrics
Otolaryngology
Patient Care Management
Fibrin Tissue Adhesive
Bronchitis
Bronchoalveolar Lavage
Mucus
Foreign Bodies
Fistula
Patient Care
Lasers
Spine
Outcome Assessment (Health Care)
Biopsy

Keywords

  • Flexible bronchoscopy
  • Multidisciplinary
  • Pediatric
  • Rigid bronchoscopy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health

Cite this

Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease. / Shah, Maulik B.; Bent, John P.; Vicencio, Alfin G.; Veler, Haviva; Arens, Raanan; Parikh, Sanjay R.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 72, No. 12, 12.2008, p. 1771-1776.

Research output: Contribution to journalArticle

Shah, Maulik B. ; Bent, John P. ; Vicencio, Alfin G. ; Veler, Haviva ; Arens, Raanan ; Parikh, Sanjay R. / Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease. In: International Journal of Pediatric Otorhinolaryngology. 2008 ; Vol. 72, No. 12. pp. 1771-1776.
@article{ef3461305d3444c099326dfac87a34ca,
title = "Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease",
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.",
keywords = "Flexible bronchoscopy, Multidisciplinary, Pediatric, Rigid bronchoscopy",
author = "Shah, {Maulik B.} and Bent, {John P.} and Vicencio, {Alfin G.} and Haviva Veler and Raanan Arens and Parikh, {Sanjay R.}",
year = "2008",
month = "12",
doi = "10.1016/j.ijporl.2008.08.011",
language = "English (US)",
volume = "72",
pages = "1771--1776",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",
number = "12",

}

TY - JOUR

T1 - Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease

AU - Shah, Maulik B.

AU - Bent, John P.

AU - Vicencio, Alfin G.

AU - Veler, Haviva

AU - Arens, Raanan

AU - Parikh, Sanjay R.

PY - 2008/12

Y1 - 2008/12

N2 - 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.

AB - 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.

KW - Flexible bronchoscopy

KW - Multidisciplinary

KW - Pediatric

KW - Rigid bronchoscopy

UR - http://www.scopus.com/inward/record.url?scp=55349115369&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=55349115369&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2008.08.011

DO - 10.1016/j.ijporl.2008.08.011

M3 - Article

C2 - 18819716

AN - SCOPUS:55349115369

VL - 72

SP - 1771

EP - 1776

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

IS - 12

ER -