Abstract
Neonatologists are increasingly exploring the airways with rigid and flexible bronchoscopes. Each instrument has particular advantages; the rigid endoscope mainly for therapy, including balloon dilatation of acquired strictures, and the fibrescope mainly for inspection of the airway for diagnostic purposes. Before using either technique, it is essential to ensure that the information will be really useful and cannot be obtained using less invasive methods.
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References
Abman SH, Accurso FJ, Bowman CM (1984) Unsuspected cardiopulmonary abnormalities complicating bronchopulmonary dysplasia. Arch Dis Child 59:996–970
Alpert BE, O'Sullivan BP, Panitch HB (1992) Nonbronchoscopic approach to bronchoalveolar lavage in children with artificial airways. Pediatr Pulmonol 13:38–41
Brown SB, Hedlund GL, Glasier CM, Williams KD, Greenword LH, Gilliland JD (1987) Tracheobronchial stenosis in infants: successful balloon dilatation therapy. Radiology 164:475–478
Cohn RC, Kercsmar C, Dearborn D (1988) Safety and efficacy of flexible endoscopy in children with bronchopulmonary dysplasia. Am J Dis Child 142:1225–1228
Croft DB, Allen KJ (1985) Gruentzig balloon catheter dilatation for acquired bronchial stenosis in an infant. Ann Thorac Surg 39:379–381
De Blic J, Scheinmann P (1992) Fibreoptic bronchoscopy in infants. Arch Dis Child 67:159–161
Elkerbout SCD, Lingen RA van, Gerritsen J, Roorda RJ (1993) Endoscopic balloon dilatation of acquired airway stenosis in newborn infants: a promising treatment. Arch Dis Child 68: 37–40
Finer NN, Muzyka D (1992) Flexible endoscopic intubation of the neonate. Pediatr Pulmonol 12:48–51
Godfrey S, Springer C, Maayan C, Avital A, Vatashky E, Belin B (1987) Is there a place for rigid bronchoscopy in the management of pediatric airway disease? Pediatric Pulmonol 3:179–184
Gonzalez C, Reilly JS, Bluestone CD (1987) Synchronous airway lesions in infancy. Ann Otol Rhinol Laryngol 96:77–86
Green CG, Eisenberg J, Leong A, Nathanson I, Schnapf BM, Wood RE (1992) Flexible endoscopy of the pediatric airway. Am Rev Respir Dis 145:233–235
Grigg JM, Savill JS, Sarraf C, Haslett C, Silverman M (1991) Neutrophil apoptosis and clearance from neonatal lungs. Lancet 338: 720–722
Koumbourlis AC, Kurland G (1993) Nonbronchoscopic bronchoalveolar lavage in mechanically ventilated infants: technique, efficacy, and applications. Pediatr Pulmonol 15: 257–262
Lindahl H, Nyman K (1986) Congenital bronchobiliary fistula succesfully treated at the age of three days. J Pediatr Surg 21: 734–735
Lockhart CH, Elliot JL (1984) Potential hazards of pediatric rigid bronchoscopy. J Pediatr Surg 19: 239–242
McCoy KS, Bagwell CE, Wagner M, Sallent J, O'Keefe M, Kosch PC (1992) Spirometric and endoscopic evaluation of airway collapse in infants with bronchopulmonary dysplasia. Pediatr Pulmonol 14: 23–27
Miller RW, Woo P, Kellman RK, Slagle TS (1987) Tracheobronchial abnormalities in infants with bronchopulmonary dysplasia. J Pediatr 111: 779–782
Puhakka H, Kero P, Valli P, Iisalo E, Erkinjuntti M (1989) Pediatric bronchoscopy. A report of methodology and results. Clinical Pediatrics 28: 253–257
Rodgers BM, Moazam F, Talbert JL (1983) Endotracheal cryotherapy in the treatment of refractory airway stricture. Ann Thorac Surg 35: 52–57
Schellhase DE (1990) Routine fiberoptic bronchoscopy in intubated neonates? Am J Dis Child 144: 746–747
Schellhase DE, Graham LM, Fix EJ, Sparks LM, Fan LL (1990) Diagnosis of tracheal injury in mechanically ventilated premature infants by flexible bronchoscopy. Chest 98: 1219–1225
Shinwell ES (1992) Ultrathin fiberoptic bronchoscopy for airway toilet in neonatal pulmonary atelectasis. Pediatr Pulmonol 13: 48–49
Shinwell ES, Higgens RD, Auten RL, Shapiro DL (1989) Fiberoptic bronchoscopy in the treatment of intubated neonates. Am J Dis Child 143: 1064–1065
Wagener JS (1987) Fatality following fiberoptic bronchoscopy in a two-yearold child. Pediatr Pulmonol 3: 197–199
Woods AM, Gal TJ (1987) Decreasing airflow resistance during infant and pediatric bronchoscopy. Anesth Analg 66: 457–459
Wood RE (1984) Spelunking in the pediatric airways: explorations with the flexible fiberoptic bronchoscope. Pediatr Clin N Am 31: 785–799
Wood RE (1985) Clinical applications of ultrathin flexible bronchoscopes. Pediatr Pulmonol 1: 244–248
Wood RE (1990) Pitfalls in the use of the flexible bronchoscope in pediatric patients. Chest 97: 199–203
Wood RE (1992) Flexible bronchoscopy in infants. Int Anesthesiol Clin 30: 125–132
Wood RE, Gauderer MW (1984) Flexible fiberoptic bronchoscopy in the managemetn of tracheobronchial foreign bodies in children; the value of a combined approach with open tube bronchoscopy. J Pediatr Surg 19: 693–698
Wood RE, Postma D (1988) Endoscopy of the airway in infants and children. J Pediatr 112: 1–6
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Bush, A. Review — neonatal bronchoscopy. Eur J Pediatr 153 (Suppl 2), S27–S29 (1994). https://doi.org/10.1007/BF02179670
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DOI: https://doi.org/10.1007/BF02179670