Clinical application of flexible bronchoscopy and neck ultrasound in percutaneous dilatational tracheotomy in infants
10.3760/cma.j.cn101070-20220426-00456
- VernacularTitle:可弯曲支气管镜联合颈部超声在婴幼儿经皮扩张气管切开术中的临床应用
- Author:
Chao WANG
1
;
Xincun ZHANG
;
Chen MENG
;
Jing MA
;
Liangkai ZHANG
;
Lei WANG
;
Shaochao WANG
Author Information
1. 山东大学附属儿童医院（济南市儿童医院）呼吸介入科，济南 250022
- Keywords:
Flexible bronchoscopy;
Ultrasound;
Percutaneous dilatational tracheotomy;
Infants
- From:
Chinese Journal of Applied Clinical Pediatrics
2022;37(19):1464-1468
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the value of flexible bronchoscopy and neck ultrasound in percutaneous dilatational tracheotomy (PDT) in infants.Methods:The clinical data of 24 patients, who underwent flexible bronchoscopy and neck ultrasound assisted PDT in the Center for Respiratory Intervention, Children′s Hospital Affiliated to Shandong University from December 2018 to May 2021, were retrospectively analyzed.Of the 24 cases, 12 were male and 12 female.The male to female ratio was 1∶1.The age range was 21 days to 2 years (median: 5 months). The median mass was 5.8 kg.During the PDT, neck ultrasound was used to assess the thyroid position and vascular shape of vessels.After determining the puncture approach and marking the tracheostomy site, the PDT was performed under the guidance of flexible bronchoscopy.Results:Before surgery, 19 children (79.2%) had received continuous endotracheal intubation mechanical ventilation support, 2 children (8.3%) were treated by intermittent endotracheal intubation mechanical ventilation support therapy, and 3 children (12.5%) were supported by the non-invasive ventilator.There were 9 cases (37.5%) of congenital upper respiratory tract malformation, 8 cases (33.3%) of bilateral vocal cord paralysis, 3 cases (12.5%) of upper respiratory tract neoplastic diseases, 2 cases (8.3%) of surgical evacuation difficulties, and 2 cases (8.3%) of neuromuscular disease.All 24 patients successfully completed the operation within 30 min, with bleeding volume less than 5 mL and no intraoperative complications.Conclusions:Flexible bronchoscopy and neck ultrasound can assist in the successful PDT in infants, significantly reduce the difficulty and improve the safety of PDT.
