Successful bronchoscopy in a pregnant patient with plastic bronchitis

Patil, Monali; Siddiqi, Attiya; Mador, M. Jeffrey

doi:10.1016/j.rmcr.2016.03.003

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…[38] For some empyema complicated with airway foreign body, empyema that was further induced by airway foreign body, or atypical foreign bodies in the airway, such as hair, fruit shell skin and jelly, chest CT cannot develop the relative images; after bronchoscopy examination, early detection and elimination can be achieved, avoiding the occurrence and development of missed diagnosis and misdiagnosis. [39] In this study, 5 cases of empyema in the experimental group had severe respiratory and asthmatic symptoms, and the total number of white blood cells in routine blood test was 20 to 50 * 10 9 /L, and the C-reactive protein level was about 100 to 200 mg/L. There was no obvious interruption of trachea shadow in thoracic highresolution CT tracheal imaging.…”

Section: Discussionmentioning

confidence: 54%

Clinical observation of bronchoscopy alveolar lavage combined with thoracoscopy in the treatment of empyema in children

Yue

Yang²,

Yang³

et al. 2019

Medicine

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The objective of this study was to investigate the therapeutic effects of bronchoscopy alveolar lavage (BAL) combined with thoracoscopy in the treatment of empyema in children.Retrospectively analyzed 174 cases of pediatric empyema treated with thoracoscopy combined with BAL from January 2010 to December 2016 in our hospital. All the cases, according to admission order, were randomly divided into 2 groups, the control group (group A), which contained 89 cases, was treated with thoracoscopy; and the experimental group (group B), which contained 85 cases, was treated with BAL combined with thoracoscopy. The results of BAL treatment, the inflammatory indexes including body temperature, total leukocyte count in peripheral blood and CRP, and the therapeutic effect and prognosis including the days of antibiotic use, hospital stay, the incidence of thoracotomy and lobectomy were compared between the 2 groups.1. There was no significant difference in inflammatory indexes between the 2 groups: body temperature ( o C), (39.06 ± 0.047 and 39.08 ± 0.050), P > .855; routine leukocyte count ( * 10^9/L), (25.93 ± 1.035 and 24.76 ± 1.019), P > .425); C-reactive protein (mg/L), (128.7 ± 6.653 and 138.6 ± 7.53), P > .328.2. The results of BAL: hyperemia and edema was detected in trachea intima of all cases, including 32 cases of purulent secretion and ulcer, 21 cases of lumen deformation and 5 cases of foreign body.3. There were statistical significances in the curative effects of the control group and the experimental group: the duration of antibiotic use (days), (21.07 ± 0.342 and 17.07 ± 0.288), P < .0001); the average hospital stay (days), (22.91 ± 0.347 and 18.79 ± 0.287), P < .0001; secondary surgery (thoracotomy), 15 cases in the control group, 5 cases in the experimental group, P < .023; lung lobectomy (disability rate), 13 cases in the control group and 3 cases in the experimental group, P < .011.There was statistical difference in all the therapeutic indexes (P < .05). Bronchoscopy alveolar lavage combined with thoracoscopy has a higher success rate in the treatment of pediatric empyema, and is more comprehensive, safe and effective in controlling inflammation.Abbreviations: BAL = bronchoscopy alveolar lavage, VATS = video-assisted thoracic surgery.

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Section: Discussionmentioning

confidence: 54%

Clinical observation of bronchoscopy alveolar lavage combined with thoracoscopy in the treatment of empyema in children

Yue

Yang²,

Yang³

et al. 2019

Medicine

View full text Add to dashboard Cite

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“…También se puede administrar mediante nebulización para ayudar a disolver los moldes de cilindros antes de realizar la broncoscopia. (38,39) AFECCIONES INFRECUENTES EN LA PRÁCTICA QUIRÚRGICA CAP. 10.…”

Section: Tratamientounclassified

Bronquitis Plástica

Puentes Parra,

Morales Fernández,

Manzano Vera

et al. 2023

Afecciones Infrecuentes en La Práctica Quirúrgica

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La bronquitis plástica es una afección respiratoria rara, infradiagnosticada y potencialmente mortal, sobre todo si se complica con insuficiencia respiratoria aguda. Puede ocurrir en todos los grupos etarios, especialmente en niños que han sido sometidos a correcciones quirúrgicas de malformaciones cardiacas y otros procedimientos cardiovasculares, a diferencia de los adultos en los que predominan las causas idiopáticas.Los síntomas asociados se deben a la formación y expectoración de tapones gelatinosos ramificados, que adoptan la forma del árbol bronquial y que conducen al bloqueo de las vías respiratorias distales e intermediasy,por ende,a la consolidación pulmonar y atelectasia,con disfunción de la ventilación pulmonar parcial o completa y dificultad respiratoria.El diagnóstico es eminentemente clínicoy se basa en la presentación clínicay enlos hallazgos broncoscópicos e imagenológicos. Además de las opciones de tratamiento farmacológico, recientemente se han desarrollado varios procedimientos quirúrgicos novedososque aliviancompletamente los síntomas asociadosen estos pacientes.

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“…ПБ чаще возникает у детей с врождёнными пороками сердца (ВПС) после гемодинамической коррекции [7]. Например, операция Фонтена может привести к ПБ примерно у 4% пациентов [8]. ПБ также может наблюдаться после перенесенной процедуры шунтирования Гленна (геми-Фонтена), восстановления тетрады Фалло, операции артериального переключения и других операций на сердце [9][10][11].…”

Section: этиологические факторыunclassified

A clinical case of plastic bronchitis on the background of community-accombined pneumonia

Sheitanidi,

Krivonogova,

Bachieva

et al. 2023

APPS

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Plastic bronchitis (PB) is a rare acute respiratory disease characterized by the formation of fibrin-rich plugs leading to airway obstruction and respiratory failure. This is due to the organization of the exudate, or transudate, which takes the form of the airways. Mortality in BE reaches 28-60% in patients with congenital heart disease (CHD) and 6-7% among other causes. Exact epidemiological data are unknown. In most patients, BE occurs in the context of underlying diseases, which can be conditionally divided into two groups: diseases of the heart and blood vessels and a secondary complication of pulmonary diseases. Clinical manifestations of PB are manifested by episodes of dyspnea, tachycardia, hypoxia, fever, and cough associated with airway obstruction. All existing treatments are symptomatic. The article presents a clinical case of the development and course of PB in a girl aged 1 year and 10 months against the background of acute community-acquired right-sided segmental (S10) pneumonia.

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Successful bronchoscopy in a pregnant patient with plastic bronchitis

Cited by 5 publications

References 12 publications

Clinical observation of bronchoscopy alveolar lavage combined with thoracoscopy in the treatment of empyema in children

Clinical observation of bronchoscopy alveolar lavage combined with thoracoscopy in the treatment of empyema in children

Bronquitis Plástica

A clinical case of plastic bronchitis on the background of community-accombined pneumonia

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