Role of Flexible Bronchoscopy in Ventilator-Dependent Neonates

Objective To assess the usefulness and safety of flexible bronchoscopy in ventilated neonates with extubation failure. Method This was a prospective observational study. Flexible bronchoscopy was done in eligible patients with failure of extubation form invasive ventilation. The main outcome measure...

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Bibliographic Details
Published in:Indian pediatrics 2020-10, Vol.57 (10), p.922-925
Main Authors: Bhat, Javeed Iqbal, Charoo, Bashir A., Zahoor, Shihab, Ahmad, Qazi Iqbal, Ahangar, Ambreen Ali
Format: Article
Language:English
Subjects:
Maternal and Child Health
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Research Paper
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Summary:Objective To assess the usefulness and safety of flexible bronchoscopy in ventilated neonates with extubation failure. Method This was a prospective observational study. Flexible bronchoscopy was done in eligible patients with failure of extubation form invasive ventilation. The main outcome measure was to find the presence of any anatomic or dynamic abnormalities of the airways of these patients and the organism profile of bronchoalveolar lavage (BAL) fluid. Results Forty-eight babies (68.8% preterm) were enrolled in the study. The most common finding on bronchoscopy was airway edema seen in 13 (27%) patients. BAL culture was positive in 29 (74%) patients. Overall treatment was modified in 35 (73%) patients based on bronchoscopy findings/BAL culture. Majority of infants (83.3%) tolerated the procedure very well. Conclusion Flexible bronchoscopy provides useful information in the management of newborn babies with extubation failure.
ISSN:0019-6061
0974-7559
DOI:10.1007/s13312-020-1996-2