Document Detail


Complications of flexible bronchoscopy in children: prospective study of 1,328 procedures.
MedLine Citation:
PMID:  12449184     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Complications of flexible bronchoscopy (FB) were prospectively evaluated during 1,328 diagnostic procedures in children, not in intensive care units. A total 92.8% of the procedures were performed in conscious patients under sedation and 7.2% under deep sedation. Supplementary oxygen was provided in approximately 80% of cases via endoscopic face mask (n=783) or nasal prongs (n=290). At least one complication was recorded in 91 cases (6.9%). Minor complications (n=69; 5.2%) included moderate and transient episodes of desaturation (n=15), isolated excessive coughing (n=22), excessive nausea reflex with coughing (n=20), transient laryngospasm (n=6) and epistaxis (n=6). Major complications (n=22; 1.7%) included oxygen desaturation to <90%, either isolated (n=10) or associated with laryngospasm (n=6), coughing (n=4), bronchospasm (n=1), and pneumothorax (n=1). Major complications involving oxygen desaturation were associated with age <2 yrs (13 of 529 versus 8 of 778) and laryngotracheal abnormalities (7 of 85 versus 14 of 1,222). The overall frequency of complications was similar in conscious (6.7%) but sedated patients and patients under deep (7.3%) sedation. However, the frequency of transient desaturation was significantly higher in children undergoing FB under deep sedation. Transient fever after bronchoalveolar lavage was observed in 52 of 277 cases (18.8%). Flexible bronchoscopy is a safe procedure with <2% major complications. Careful analysis of indications and clinical status for each patient, and proper anaesthesia and monitoring during the examination ensure that the procedure is successful, with a minimum of complications.
Authors:
J de Blic; V Marchac; P Scheinmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The European respiratory journal     Volume:  20     ISSN:  0903-1936     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-25     Completed Date:  2003-02-21     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  1271-6     Citation Subset:  IM    
Affiliation:
Paediatric pneumology and allergology unit, Hĵpital Necker Enfants Malades, Paris, France. jacques.deblic@nck.ap-hop-paris.fr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anesthesia
Bronchoscopy / adverse effects*
Child
Child, Preschool
Conscious Sedation
Cough / etiology
Humans
Infant
Laryngismus / etiology
Lung Diseases / diagnosis,  therapy
Oxygen / blood
Prospective Studies
Risk Factors
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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