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Interventionelle Bronchoskopie im Kindesalter

Interventional bronchoscopy in children

  • Pädiatrische Pneumologie
  • Published:
Der Pneumologe Aims and scope

Zusammenfassung

Interventionelle Verfahren zur Diagnostik und Therapie von respiratorischen Erkrankungen sind auch im Kindesalter möglich. Ihre Anwendung ist jedoch durch die Größe der Atemwege und die geringe Apnoetoleranz der Kinder eingeschränkt. Wegen des zu erwartenden Wachstums der kindlichen Atemwege können insbesondere Stents nur in Palliativsituationen zum Einsatz kommen. Trotz dieser Einschränkungen und der wegen des geringen Lumens der Atemwege immer möglichen Komplikationen, sowohl bei der akuten Intervention wie auch danach, stellen diese Verfahren dennoch eine Bereicherung des Armamentariums der Kinderpneumologie dar. Ihre Anwendung bleibt erfahrenen Zentren vorbehalten. Eine Kinderintensivstation mit entsprechender Expertise muss zwingend vorhanden sein.

Abstract

Interventional procedures for the diagnosis and therapy of respiratory diseases are also possible in children; however, the application is restricted by the dimensions of pediatric airways and the brief tolerance of apnea. Because the airway in children will continuously grow, stents remain an option only in palliative situations or postoperatively for a short period of time. In spite of these restrictions and the complications that may occur, interventional techniques are a useful extension of the therapeutic armamentarium of pediatric pulmonology. Their application is restricted to experienced centers and require intensive care back-up.

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Abbreviations

BS:

Bronchoskopie

EBUS:

Endobronchialer Ultraschall

HNO:

Hals-Nasen-Ohren

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Einhaltung ethischer Richtlinien

Interessenkonflikt. T. Nicolai gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Dr. v. Haunersches Kinderspital, Kinderklinik der Ludwig Maximilians Universität, Lindwurmstr. 4, 80337, München, Deutschland

    T. Nicolai

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Correspondence to T. Nicolai.

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Nicolai, T. Interventionelle Bronchoskopie im Kindesalter. Pneumologe 12, 238–243 (2015). https://doi.org/10.1007/s10405-014-0866-9

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  • DOI: https://doi.org/10.1007/s10405-014-0866-9

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