Eighteen years have passed since the last European survey concerning practices in pediatric bronchoscopy was conducted. How is this therapeutic and diagnostic procedure evolving?
This article was written thanks to the collaboration of 198 European centers from 33 European countries.
From 2012 to 2014 a total of 57.145 bronchoscopies were reported. Both flexible and rigid techniques were available at most of the centers. The most frequently mentioned indications were suspected aspiration, infection, radiographic abnormalities, airway obstruction, and cough.
Hypoxemia, airway obstruction, and cough were the most common complications mentioned, followed by airway hemorrhage.
Most centers were able to perform bronchoalveolar lavage (BAL) and endobronchial biopsies and some performed more special procedures, such as transbronchial biopsies. Interventions like balloon dilation, laser procedures, or stent placement were less common and rarely available.
Compared to the 1997 survey pediatric bronchoscopy has become more widely available and established in Europe.
Source:Schramm D, Yu Y, Wiemers A, et al.
Pediatric flexible and rigid bronchoscopy in European
centers—Availability and current practice. Pediatric
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