Indications and Complications of Flexible Fiberoptic Bronchoscopy in Children: A 5-Year Experience at a Tertiary Care Hospital in Iran

Shirzadi, Rohola; Navaei, Safoura; Razavi-Khorasani, Niloofar; Masiha, Farzad; Mirlohi, Seyed Hossein; Mohamadi, Mahya; Ebrahimsoltani, Alireza; Modaresi, Mohammadreza

doi:10.5812/ijp.92535

Cited by 4 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in some cases performing rigid instead of exible bronchoscopy is inevitable. To our knowledge, this is the third report from Iran that describes the outcomes and indications of FFB in the pediatric population, the two last articles can be found elsewhere (9,10). Reports come from different countries and diverse populations with variable numbers of procedures per annum.…”

Section: Discussionmentioning

confidence: 98%

“…Although FFB is substantially used in clinical settings, available reports regarding its complications and indications in developing countries are scarce (9,11). Therefore, the objectives of this study were to evaluate the indications of FFB in patients suspected of foreign body aspiration, characteristics of its patients, and its complications.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is Early Diagnosis of Foreign Body Aspiration Effective in Reducing Re-bronchoscopy in Children?

Mohammadi¹,

Modaresi²,

Shirzadi³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background:Flexible Fiber-optic Bronchoscopy (FFB) is a diagnostic and therapeutic tool for respiratory diseases and evaluation. One of its major advantages is in the diagnosis and treatment of foreign body aspiration.Objectives:This study reports the indications, outcomes, and possible complications of FFB in patients suspected of foreign body aspiration diagnosis in the Iranian population.Methods:The data for this study was gathered from medical records of the patients in Children’s Medical Centre, which is a tertiary pediatric hospital affiliated with Tehran University of Medical Sciences (TUMS), from August 2015 to February 2021.Results:Of the 358 FFBs that were performed for patients suspected of foreign body aspiration diagnosis, major indications included choking (158, 44.13%), coughing (157, 43.58%), wheezing (34, 9.49%), and stridor (6, 1.67%). Nuts were the most common foreign body that was removed among airways in these patients (116, 65.16%). In 15 (4.18%) cases the foreign object was extracted via re-bronchoscopy. The location of 130 foreign objects was identified which right bronchus (52, 40%), left bronchus (38, 29.23%), trachea (8, 6.15%), and carina (6, 4.61%). In 358 procedures that were performed, a total of 27 cases (7.54%) developed complications include hypoxia and laryngospasm. The mean interval from the first sign of choking and the admission of the child into the hospital was 44.43 days ± 10.88 (range: 1 to 1095 days, 95% CI: 22.87-65.99). There was a significant association between later days of admission and the necessity for re-bronchoscopy according to the logistic regression test (p-value=0.012).Conclusion:Our results show that by early diagnosis and hospitalization and so performing flexible fiber-optic bronchoscopy in an earlier time than foreign body aspiration can increase the number of successful procedures.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Is Early Diagnosis of Foreign Body Aspiration Effective in Reducing Re-bronchoscopy in Children?

Mohammadi¹,

Modaresi²,

Shirzadi³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…For assessing the airway in respiratory disease in the pediatric population, fiberoptic bronchoscopy (FB) is one of the most common diagnostic and therapeutic instruments. It has been widely used for identifying the cause of bronchiectasis, recurrent wheezing, and persistent stridor in children (4)(5)(6). According to a recent study, therapeutic bronchoscopies declined during the pandemic (7).…”

Section: Introductionmentioning

confidence: 99%

Compare Indications and Findings of Fiberoptic Bronchoscopy in Children Before and During the COVID-19 Outbreak

Ghanbari,

Badkoubeh,

Shirzadi

et al. 2023

Iran J Pediatr

Self Cite

View full text Add to dashboard Cite

Background: The coronavirus disease 2019 (COVID-19) dramatically impacts healthcare delivery. Pulmonary diagnostic procedures have had frequent disruptions during this pandemic. Objectives: This study aimed to discover how the COVID-19 pandemic affected pediatric flexible fiberoptic bronchoscopy. Methods: This retrospective cross-sectional study was carried out on pediatric patients who underwent fiberoptic bronchoscopy at a tertiary pediatric hospital affiliated to Tehran University of Medical Sciences. Procedural analysis was done from 20 March 2019 to 20 February 2020 (the pre-pandemic period) and 20 March 2020 to 20 February 2021 (during the pandemic period). The two groups were compared with regard to bronchoscopic indications and findings. Results: Our results from the data registry showed that within (group 1), 290 patients vs. 241 patients from 20 March 2020 till 20 February 2021 (group 2) were admitted to the operation room at least once for bronchoscopy procedures. Although the findings of foreign body aspiration in bronchoscopy were more frequent in group 2, this difference was not significant in the two groups (P = 0.055). The number of cases without abnormality in group 2 was significantly less than in group 1 (P = 0.006). The prevalence of Laryngomalacia was also significantly higher in group 2 (P = 0.000). Conclusions: Our results confirmed the reduction of bronchoscopy in children after the COVID-19 epidemic. However, there was no change in the immediate indications for bronchoscopy, and this pandemic had the most significant impact on elective bronchoscopy.

show abstract

Risk Factors for Procedural Complications of Pediatric Flexible Bronchoscopy: Experience From a Tertiary Care Centre in Northern India

Manoharan,

Jat,

Dhochak

et al. 2024

Indian Pediatr

View full text Add to dashboard Cite

Indications and Complications of Flexible Fiberoptic Bronchoscopy in Children: A 5-Year Experience at a Tertiary Care Hospital in Iran

Cited by 4 publications

References 18 publications

Is Early Diagnosis of Foreign Body Aspiration Effective in Reducing Re-bronchoscopy in Children?

Is Early Diagnosis of Foreign Body Aspiration Effective in Reducing Re-bronchoscopy in Children?

Compare Indications and Findings of Fiberoptic Bronchoscopy in Children Before and During the COVID-19 Outbreak

Risk Factors for Procedural Complications of Pediatric Flexible Bronchoscopy: Experience From a Tertiary Care Centre in Northern India

Contact Info

Product

Resources

About