Fibrobroncoscopia pediátricanuestra experiencia en 139 exploraciones

  1. A. Andrés Martín 1
  2. D. Gómez Pastrana 1
  3. M'. Sánchez Durán 1
  4. M. Pineda Mantecón 1
  5. J. Fernández Recuero 1
  1. 1 Sección Neumología Pediátrica, Hospital Infantil Universitario Virgen del Rocío
Revista:
Neumosur: revista de la Asociación de Neumólogos del Sur

ISSN: 0214-6266

Año de publicación: 1997

Volumen: 9

Número: 3

Páginas: 6-18

Tipo: Artículo

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Otras publicaciones en: Neumosur: revista de la Asociación de Neumólogos del Sur

Resumen

La ribrobroncoscopia (FBC) es una técnica indispensable en las unidades de neumología pediátrica. En nuestro centro, se han realizado 139 exploraciones desde abril de 1993 a noviembre de 1995, en niños menores de 15 años (rango de 8 días a 15 años). Hemos empleado un ribrobroncoscopio Olympus BF3C20, y sedación con midazolan, asociado o no a fentanilo. Se realizaron 126 exploraciones sin intubar, 12 intubados, y uno intubado, pero por fuera del TET. 74 fueron niños y 65 niñas. El 56,11% tenían menos de 3 años. Las indicaciones de la FBC fueron: patología de la vía alta (14,52 %), patología de la vía aérea inferior (85,47%). Los hallazgos endoscópicos fueron: patología de la vía alta (8,66 %), patología endobronquial (54,33%); compresión bronquial extrínseca (4,72%) y normal (32,28%). En un 64,74% de los casos se tomaron muestras. No hubo ninguna complicación importante, excepto mínimos descensos de la saturación de oxígeno. Fue necesario revertir el efecto de las benzodiacepinas con flumazenil, en cuatro ocasiones.

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Fuente de los datos: Dialnet