Application and safety of bed side flexible fiberoptic bronchoscopy in PICU
10.3760/cma.j.issn.1673-4912.2015.02.008
- VernacularTitle:床旁纤维支气管镜在 PICU的应用及安全性分析
- Author:
Yuanhong YUAN
;
Zhenghui XIAO
;
Hui ZHANG
;
Yimin ZHU
;
Xiulan LU
;
Zhiyue XU
;
Jianghua FAN
- Publication Type:Journal Article
- Keywords:
Fiber bronchoscope;
Pediatric intensive care unit;
Safety
- From:
Chinese Pediatric Emergency Medicine
2015;22(2):104-107
- CountryChina
- Language:Chinese
-
Abstract:
Objective To id scuss the role and safety of fiberoptic bronchoscopy for diagnosing and treating respiratory dsi ease in PICU.Methods A total of 95 eil gible children with respri atory diseases admi-tted ni PICU of Hu′nan Prvo inec Children′s Hospital were enroll ed in this retrospectvi e study from January 2013t o December 2013, and the efficacy and complications of fiberoptic bronchoscopy were assessed.Results A total of 95 children underwented bronchoscopy 112 timest, he most common of microscopic examination resutl s was tracheal bronchitis ( 62.1%) , followed by congenital airway abnormality ( 21.1%); 58 times (56.9%) showed becteria positive in 102 times lavage and sputum culture results, including 16 times (27.6%) of Klebsiella pneumoniae bacteria,12 times(20.7%) of Acinetobacter baumannii.After under-wenting bronchoscopy and lavage wash,blood gas analysis of pH value,PaO2 ,PaCO2 ,SaO2 had significant improvement than before( P<0.05 ) , respiratory rate had improved than before ( P<0.05 ) , little effect in heart rate(P>0.05).The inrt aopear tive and postoperative transient comlp ications were obserev d in 38 times (33.9%).Conclusion The appil cation of fiberoptic bronchoscopy for diagnosing and ter ating disease in PICU has a cetr ia n value, its vo erall safety is reliable.
