Use of tracheobronchography as a diagnostic tool in ventilator-dependent infants
| Autor: | Claire Peacock, Isky Gordon, Peter MacIntyre, Quen Mok |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Artificial ventilation
Mechanical ventilation medicine.medical_specialty Bronchography medicine.diagnostic_test business.industry medicine.medical_treatment respiratory system Airway obstruction Critical Care and Intensive Care Medicine medicine.disease Surgery Bronchoscopy Tracheobronchomalacia Anesthesia Intensive care medicine Airway business |
| Zdroj: | Critical Care Medicine. 26:755-759 |
| ISSN: | 0090-3493 |
| Popis: | Objective: Comparison of investigations of the airway in ventilator-dependent infants. Design: Consecutive infants with suspected upper airway abnormalities were investigated using rigid bronchoscopy and tracheobronchography. Setting: Tertiary pediatric and neonatal intensive care units. Patients: Eight Infants with suspected airway abnormalities. Interventions: Rigid bronchoscopy and tracheobronchography. Measurements and Main Results: Structural abnormalities, segmental narrowing of the airways and the effect of various levels of positive-end expiratory pressures on the narrowings were documented. In six of the eight cases, additional airway abnormalities were diagnosed with tracheobronchography compared with rigid bronchoscopy. Conclusions: In cases of suspected abnormalities of the upper airway in small infants unable to be weaned from ventilatory support, tracheobronchography may be a more reliable investigation method than rigid bronchoscopy. The ability to assess the structural and dynamic components of the airway accurately and safely allows a correct and long-term treatment plan to be established in this group of patients. |
| Databáze: | OpenAIRE |
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