Gedik Ahmet Hakan, Çakır Erkan, Topuz Ufuk
Department of Pediatric Pulmonology, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey.
Department of Anesthesiology and Reanimation, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey.
Turk Thorac J. 2016 Jan;17(1):32-34. doi: 10.5578/ttj.17.1.006. Epub 2015 Jun 12.
Flexible bronchoscopy (FB) can be used safely for wider indications in children. Ultra-thin bronchoscopes are used for premature or newborn infants and are of limited diagnostic value. Bronchoscopes with a suction channel, may lead to problems when the nasal passage is narrow, particularly in patients under 2.5 kg. In addition, it may cause bronchospasm and hypoxia in small infants during the procedure because of an almost complete obstruction of the airway. A laryngeal mask airway (LMA) may prevent both bronchospasm and hypoxia because it does not need a nasal route. In addition, the LMA allows positive pressure ventilation during the procedure. We performed FB with a 3.7 mm bronchoscope through the LMA in a 75-day-old and 1910 g premature baby with atelectasis. This is the first and successful FB experience in such a small premature infant reported in the literature using a 3.7 mm bronchoscope through the LMA.
可弯曲支气管镜检查（FB）可安全地用于儿童更广泛的适应症。超薄支气管镜用于早产儿或新生儿，诊断价值有限。带有吸引通道的支气管镜，当鼻道狭窄时可能会出现问题，尤其是在体重低于2.5千克的患者中。此外，在操作过程中，它可能会导致小婴儿支气管痉挛和缺氧，因为气道几乎完全阻塞。喉罩气道（LMA）可能会预防支气管痉挛和缺氧，因为它不需要经鼻途径。此外，LMA允许在操作过程中进行正压通气。我们通过喉罩气道，使用3.7毫米支气管镜对一名75天大、体重1910克的患有肺不张的早产儿进行了支气管镜检查。这是文献中首次报道的在如此小的早产儿中通过喉罩气道使用3.7毫米支气管镜进行的成功支气管镜检查经验。
