Flexible bronchoscopy and interdisciplinary collaboration in pediatric large airway disease

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

Research output: Contribution to journalArticle

11 Scopus citations

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 1 2008

Keywords

  • Flexible bronchoscopy
  • Multidisciplinary
  • Pediatric
  • Rigid bronchoscopy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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