Prophylactic Flexible Bronchoscopy Immediately following Open Airway Reconstruction in Children

The Annals of Otology, Rhinology, and Laryngology
Regan C ManayanAndrew R Scott

Abstract

Prophylactic flexible bronchoscopy immediately following open airway reconstruction allows for directed clearance of the distal airways, potentially reducing the rate of certain postoperative respiratory complications. In this investigation, we sought to determine if prophylactic flexible bronchoscopy at the conclusion of pediatric open airway reconstruction has any benefit over blind flexible suctioning of the trachea. A retrospective, single-center study at an urban tertiary care hospital was completed. From January 2010 to April 2013, patients underwent open airway reconstruction, immediately followed by blind flexible suctioning of the trachea for distal airway clearance. From May 2013 through December 2016, sequential patients underwent prophylactic flexible bronchoscopy immediately following airway reconstruction. A total of 29 patients (age: 3.6 months-6.2 years) met inclusion criteria. Sixteen sequential patients underwent simple blind flexible suctioning and 13 sequential patients underwent directed, prophylactic flexible bronchoscopy. Demographics and comorbidities between the groups were equivalent other than slightly older age in the prophylactic bronchoscopy group. All clinical outcomes analyzed were equivalent oth...Continue Reading

References

Aug 1, 1972·The Annals of Otology, Rhinology, and Laryngology·B Fearon, R Cotton
Oct 11, 2017·Acta Anaesthesiologica Scandinavica·K L EllekjaerM H Møller
Apr 2, 2018·International Journal of Pediatric Otorhinolaryngology·Reema PadiaJeremy Meier
Apr 9, 2018·Thoracic Surgery Clinics·Thomas R J Todd

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Methods Mentioned

BETA
prophylactic bronchoscopy
bronchoalveolar lavage
sedation

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