Pediatric flexible bronchoscopy: A tertiary single center experience

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Yazan H.

Northern Clinics of Istanbul, cilt.12, sa.1, ss.83-88, 2025 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 12 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.14744/nci.2023.12316
  • Dergi Adı: Northern Clinics of Istanbul
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Central & Eastern European Academic Source (CEEAS), Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.83-88
  • Anahtar Kelimeler: Bronchoalveolar lavage, bronchoscopy, stridor
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

OBJECTIVE: Flexible bronchoscopy (FB) is an important tool for evaluating pediatric patients with respiratory issues. This study aims to investigate the clinical features of children who underwent FB. METHODS: The study included 191 children who underwent FB between April 1, 2021 and December 31, 2022. Demo-graphic and clinical data were retrospectively reviewed. RESULTS: One hundred ninety-one children (45% girl) were enrolled to study. Median age was 25 months (min 1, max 214 months) and median duration of complaints was 4 (min 1, max 80) months. Among the patients, 61.7% of them had a chronic disease. The main indications were stridor (17.6%) and extubation failure (13.5%). Rate of patients in the ICU during FB was 27.5% and 15.5% of them were intubated. Airway secretions in the lower respiratory tract and isolated laryngoma-lacia were the most common abnormal FB results (30.1% and 9.8% respectively). The most common abnormal FB findings were in children with extubation failure (92.3%). Forty percent of patients with chronic cough had abnormal FB findings. Bronchoalveolar lavage (BAL) sampling was performed in 61.6% (n=119) of patients and Haemophilus influenzae was the most common pathogen in these patients (n=40). CONCLUSION: FB is a valuable tool for investigating airway pathology and BAL sampling in children with respiratory problems.