PEDIATRIC BRONCHOSCOPY: 20-YEAR EXPERIENCE AT A REFERENCE CENTER IN RIO DE JANEIRO
DOI:
https://doi.org/10.47820/recima21.v4i2.2677Keywords:
Children, Pediatric, BronchoscopyAbstract
Objective: to describe 20-year experience of a pediatric bronchoscopy service, highlighting clinical and demographic aspects, indications, endoscopic findings and the occurrence of serious complications. Methods: descriptive, retrospective study of bronchoscopy exams performed from 2000 to 2019, in a pediatric hospital in Rio de Janeiro. Results: 1,372 exams were performed, 795 (58%) of which were boys and 676 (49%) were infants. Fiberoptic bronchoscopy (FB) was the technique used in 940 exams (69%). Stridor was the indication in 315 exams (21%), followed by investigation of radiological images (17%), tracheostomy revision (11%) and tracheal intubation complications (10%). Laryngomalacia was observed in 255 (68%) cases of stridor and inflammation (65-52%) and secretion plugs (34-27%) in cases of atelectasis. Subglottic stenosis was the endoscopic diagnosis in 71 (45%) of the exams performed due to tracheal intubation complications. Granuloma and supraostial malacia were present, respectively, in 35% and 20% of tracheostomized children. The frequency of major complications was 0.22%. There were no deaths. Conclusions: Laryngomalacia was the main diagnosis in cases of stridor. Subglottic stenosis is an important diagnosis in cases with previous tracheal intubation. The high frequency of supraostial complications in tracheostomized children reinforces the need for endoscopic evaluation prior to decannulation. Bronchoscopy proved to be a safe method in the pediatric population.
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