[Value of flexible fiberoptic bronchoscopy under local anesthesia in infants].
From October 1991 through April 1992, 16 infants aged 5 to 25 months (mean age 14.3 months) underwent bronchoscopy with a flexible fiberoptic bronchoscope, under local anesthesia. The technique is described in detail. Reasons for bronchoscopy included recurrent or persistent pneumonia (n = 4), persistent atelectasia (n = 4), lymphadenopathy and/or airway compression (n = 2), suspected foreign body (n = 2), bronchoalveolar lavage to investigate diffuse interstitial lung disease (n = 2), and severe recurrent wheezing (n = 2). The procedure established the accurate diagnosis in 14 cases. Adverse events (32%) were minor (transient hypoxia, n = 3; moderate fever, n = 1; and laryngospasm, n = 1) and resolved completely. Flexible fiberoptic bronchoscopy under local anesthesia is a simple procedure which is safe in patients under 30 months of age when performed by a experienced operator in an adequate facility. This method is useful for the diagnosis and/or treatment of a broad spectrum of conditions.
Bodart
E
E
Unité de Pneumologie Pédiatrique, Cliniques Universitaires UCL de Mont-Godinne, Yvoir, Belgique.
De Lange
M
M
Vliers
A
A
D000772:Anesthesia, Local; D001992:Bronchoalveolar Lavage Fluid / Q000473:pathology; D020680:Bronchoscopes; D001999:Bronchoscopy / Q000009:adverse effects; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007223:Infant; D008171:Lung Diseases / Q000175:diagnosis* / Q000473:pathology; D008297:Male
Intérét de la fibroscopie bronchique souple sous anesthésie locale chez le nourrisson.