Special procedures

Andrew A. Colin, David A. Waltz

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

As paediatric flexible bronchoscopy has become more prevalent over the past 3 decades, procedures in which the primary aim is beyond visual inspection have similarly become more common. Interventional bronchoscopy procedures are performed less frequently in the paediatric compared to the adult population due to the relative lack of airway tumours as well as limitations of the size of the instrumentation in the former. However, the ability to perform these special procedures when indicated is nonetheless an important part of the armamentarium of the paediatric flexible bronchoscopist. Predominant among these procedures are endobronchial (EBB) and transbronchial biopsy (TBB), although segmental bronchography, assessment and therapy of airway bleeding, drug concentration measurement, assisted intubation and therapy of bronchitis obliterans have also been performed. This chapter reviews each of these indications, focusing in particular on the clinical, research and technical aspects of EBB and TBB. EBB in the paediatric population remains predominantly a research procedure, as evidence to support its use in clinical contexts is lacking. In contrast, TBB has an established role in clinical care, particularly following lung transplantation.

Original languageEnglish (US)
Title of host publicationPaediatric Bronchoscopy
EditorsKostas Priftis, Anastassios Koumbourlis, Michael Anthracopoulos, Robert Wood, Ernst Eber
Pages42-53
Number of pages12
DOIs
StatePublished - Apr 1 2010

Publication series

NameProgress in Respiratory Research
Volume38
ISSN (Print)1422-2140
ISSN (Electronic)1662-3932

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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    Colin, A. A., & Waltz, D. A. (2010). Special procedures. In K. Priftis, A. Koumbourlis, M. Anthracopoulos, R. Wood, & E. Eber (Eds.), Paediatric Bronchoscopy (pp. 42-53). (Progress in Respiratory Research; Vol. 38). https://doi.org/10.1159/000314383