Indications and Outcome of Flexible Bronchoscopy in Neonates

Objective To analyse the indications, safety and outcome of flexible fiberoptic bronchoscopy (FOB) in neonates. Methods This descriptive study was conducted in Level III neonatal unit (ICH, Chennai) and included 84 neonates with various respiratory problems admitted over a 3 y period. Results The in...

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Bibliographic Details
Published in:Indian journal of pediatrics Vol. 79; no. 9; pp. 1181 - 1184
Main Authors: Vijayasekaran, D., Kalpana, S., Ramachandran, P., Nedunchelian, K.
Format: Journal Article
Language:English
Published: India Springer-Verlag 01-09-2012
Springer
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Summary:Objective To analyse the indications, safety and outcome of flexible fiberoptic bronchoscopy (FOB) in neonates. Methods This descriptive study was conducted in Level III neonatal unit (ICH, Chennai) and included 84 neonates with various respiratory problems admitted over a 3 y period. Results The indications included stridor (18%), persistent radiological abnormalities (44%), unexplained wheeze/respiratory distress (21%) and others (17%). The mean age and weight were 25 d and 2.82 kg respectively. Bronchoscopy detected various anomalies like upper airway anomalies (10.7%), lower airway malacia (21%), synchronous airway malacias (19%) and miscellaneous anatomical abnormalities (18%). Bronchoalveolar lavage was done in 62% with microbiological yield in 54% cases.FOB helped in the revision of diagnosis in 57%. Resolution of atelectasis was observed in 13.5% cases. Except for transient hypoxemia in 2 neonates, no other complication was encountered. Conclusions Flexible bronchoscopy is safe and useful both as diagnostic and therapeutic tool in neonates with respiratory problems.
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ISSN:0019-5456
0973-7693
DOI:10.1007/s12098-011-0595-6