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Understanding Interventional Bronchoscopy

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Diagnostic Tests in Pediatric Pulmonology

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Pediatric flexible bronchoscopy as a diagnostic modality has become a standard tool in the armamentarium of the modern pediatric pulmonologist. However the feasibility of interventions through flexible bronchoscopy is emerging slowly as it is limited not only by the size of the pediatric bronchoscope and its working channel but also by the demarcation lines between flexible and rigid bronchoscopy.

We organize this chapter on interventional bronchoscopy into the following broad topics:

  1. 1.

    Use of flexible bronchoscopy for acquisition of diagnostic material.

  2. 2.

    Bronchoscopy for removal of obstructive, noxious, or damaging materials from the airway or the lung.

  3. 3.

    Management of the narrowed or obstructed airway: debridement, dilation, and stenting.

  4. 4.

    Use of bronchoscopy for other procedures including: sealing of fistulae and pneumothorax, control of diffuse alveolar hemorrhage, and segmental bronchography.

  5. 5.

    New horizons: a discussion on recent reports on fetal bronchoscopy as a novel interventional approach.

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Authors and Affiliations

  1. Division of Pediatric Pulmonology, Miller School of Medicine, Batchelor Children’s Research Institute, University of Miami, 1580 NW 10th Avenue, D-820, Miami, FL, 33136, USA

    Andrew A. Colin M.D. & Joel Reiter M.D.

  2. Pediatric Pulmonology and Allergy Unit, Istituto Giannina Gaslini, Largo Gaslini, 5, Genoa, 16148, Italy

    Giovanni A. Rossi M.D.

  3. Section of Pediatric Pulmonology, Baystate Medical Center, 50 Wason Avenue, Springfield, MA, 01199, USA

    Annabelle Quizon M.D.

Authors
  1. Andrew A. Colin M.D.
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  2. Joel Reiter M.D.
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  3. Giovanni A. Rossi M.D.
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  4. Annabelle Quizon M.D.
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Corresponding author

Correspondence to Andrew A. Colin M.D. .

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Editors and Affiliations

  1. Section of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana, USA

    Stephanie D. Davis

  2. Respiratory and Allergic Disease Division, Dept. Paediatrics & Adolescent Medicine, Medical University of Graz, Graz, Austria

    Ernst Eber

  3. Division of Pulmonary & Sleep Medicine, Children’s National Medical Center/George Washington University, School of Medicine and Health Sciences, Washington, District of Columbia, USA

    Anastassios C. Koumbourlis

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Colin, A.A., Reiter, J., Rossi, G.A., Quizon, A. (2015). Understanding Interventional Bronchoscopy. In: Davis, S., Eber, E., Koumbourlis, A. (eds) Diagnostic Tests in Pediatric Pulmonology. Respiratory Medicine. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1801-0_3

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