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Monatsschrift Kinderheilkunde

, Volume 164, Issue 3, pp 218–230 | Cite as

Bronchoskopie bei Kindern

Positionspapier zur rationalen Indikationsstellung und sicheren technischen Durchführung
  • T. Nicolai
  • D. Schramm
  • J. Hammer
  • E. Eber
  • C. B. Eich
  • B. Hinrichs
Konsensuspapiere

Zusammenfassung

Die Bronchoskopie bietet in der Hand des erfahrenen Anwenders und besonders des pädiatrischen Pneumologen sowie in der Intensivmedizin und Anästhesie wertvolle diagnostische und therapeutische Möglichkeiten. Es gibt eine große Zahl von Publikationen zum Indikationsspektrum, zu den Ergebnissen, zu Sicherheit bzw. Nebenwirkungen und zur Sedierung/Anästhesie bei diesem Eingriff, auch seitens der AG Kinderbronchoskopie der Gesellschaft für Pädiatrische Pneumologie (GPP). Wie bei vielen seit Langem etablierten medizinischen Verfahren zu Diagnostik und Therapie existieren jedoch keine kontrollierten Studien im Sinne der evidenzbasierten Medizin zu einzelnen Aspekten der Durchführung, und solche Studien erscheinen aus verschiedenen Gründen (ethische Überlegungen, Finanzierbarkeit, Akzeptanz durch Eltern) bei etablierten Verfahren auch in Zukunft kaum durchführbar.

Es ist das Ziel dieses Positionspapiers, unser heutiges Wissen zusammenzufassen und einen Konsens zu einer rationalen Indikationsstellung und sicheren technischen Durchführung der Bronchoskopie bei Kindern zu formulieren, der als Basis für die praktische Anwendung dienen soll.

Schlüsselwörter

Endoskopie Bronchoalveoläre Lavage Fremdkörper Anästhesie Evidenzbasierte Medizin 

Bronchoscopy in children

Position paper on rational evaluation of indications and safe technical performance

Abstract

Pediatric bronchoscopy is a valuable diagnostic and therapeutic tool in the hands of experienced physicians, in particular pediatric pulmonologist and in anesthesia and pediatric intensive care. A large body of publications exists with regard to the indications, results, safety, side effects and sedation or anesthesia for this procedure; however, as for many other long-established diagnostic and therapeutic techniques, no prospective controlled studies in the sense of evidence-based medicine are available for many practical aspects of the technical details of this procedure. This is unlikely to change in the future as such studies for well-established techniques are difficult to envision for many reasons (e.g. ethical, parental acceptance and financing). It is therefore the aim of this paper to summarize the current knowledge and report a consensus by experts in the field regarding rational indications and safe technical performance of pediatric bronchoscopy.

Keywords

Endoscopy Bronchoalveolar lavage Foreign bodies Anesthesia Evidence-based medicine 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

T. Nicolai, D. Schramm, J. Hammer, E. Eber, C. B. Eich und B. Hinrichs geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • T. Nicolai
    • 1
  • D. Schramm
    • 2
  • J. Hammer
    • 3
  • E. Eber
    • 4
  • C. B. Eich
    • 5
  • B. Hinrichs
    • 6
  1. 1.Universitäts-Kinderklinik und PoliklinikDr. von Haunersches Kinderspital, Klinikum der LMUMünchenDeutschland
  2. 2.Universitätskinderklinik DüsseldorfDüsseldorfDeutschland
  3. 3.Abteilung für Intensivmedizin und PneumologieUniversitäts-Kinderspital beider Basel (UKBB)BaselSchweiz
  4. 4.Klinische Abteilung für pädiatrische Pulmonologie und AllergologieUniversitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität GrazGrazÖsterreich
  5. 5.Abteilung Anästhesie, Kinderintensiv- und NotfallmedizinKinder- und Jugendkrankenhaus AUF DER BULTHannoverDeutschland
  6. 6.BuchholzDeutschland

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