可弯曲支气管镜在依赖呼吸机的新生儿中的作用
Role of Flexible Bronchoscopy in Ventilator-Dependent Neonates.
作者信息
Bhat Javeed Iqbal, Charoo Bashir A, Zahoor Shihab, Ahmad Qazi Iqbal, Ahangar Ambreen Ali
机构信息
Department of Pediatrics, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. Correspondence to: Dr Javeed Iqbal Bhat, Department of Pediatrics, SKIMS, Soura, Jammu and Kashmir, India.
Department of Pediatrics, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
出版信息
Indian Pediatr. 2020 Oct 15;57(10):922-925. doi: 10.1007/s13312-020-1996-2.
OBJECTIVE
To assess the usefulness and safety of flexible bronchoscopy in ventilated neonates with extubation failure.
METHODS
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.
CONCLUSIONS
Flexible bronchoscopy provides useful information in the management of newborn babies with extubation failure.
目的
评估可弯曲支气管镜检查在有创通气拔管失败的新生儿中的有效性和安全性。
方法
这是一项前瞻性观察性研究。对有创通气拔管失败的符合条件的患者进行可弯曲支气管镜检查。主要结局指标是发现这些患者气道的任何解剖或动态异常以及支气管肺泡灌洗（BAL）液的微生物谱。
结果
48名婴儿（68.8%为早产儿）纳入研究。支气管镜检查最常见的发现是13名（27%）患者出现气道水肿。29名（74%）患者的BAL培养呈阳性。基于支气管镜检查结果/BAL培养，35名（73%）患者的总体治疗方案得以调整。大多数婴儿（83.3%）对该操作耐受良好。
结论
可弯曲支气管镜检查为拔管失败的新生儿的管理提供了有用信息。
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