乳幼児救急・集中治療における気管支ファイバースコープの応用

概要

論文の詳細を見る
Flexible bronchoscopy was performed in a total of 10 children in our emergency and intensive care unit, 8 of them under 2 years of age. The indications for bronchoscopy were signs of upper airway obstruction, postoperative atelectasis or airway bleeding, pneumonia, and suspicion of foreign bodies. Bronchoscopy was useful in the diagnosis of congenital upper airway anomalies (3 patients) and of bronchial foreign bodies (2 patients), in the detection of bleeding sites and causes of atelectasis. Bronchoscopy was used therapeutically for bronchial toilet (7 cases), as a guide for nasotracheal intubation (4 cases), for bronchial lavage (2 cases) and for dilatation of tracheal stenosis. Pediatric bronchoscopy was performed safely under general anesthesia with tracheal intubation and monitoring with ECG and pulse oximeter. In conclusion, bronchoscopy is useful in emergency and intensive care of children as well as of adults.