June 1983

Indications for Flexible Fiberoptic Bronchoscopy in Pediatric Patients

Author Affiliations

From the Departments of Pediatrics (Drs Fitzpatrick and Stokes), Medicine (Dr Wang), and Otolaryngology (Dr Marsh), The Johns Hopkins University School of Medicine, Baltimore. Dr Fitzpatrick was a Clinical Research Fellow of the Maryland Chapter of the American Lung Association and a Research Fellow of the Stetler Research Foundation for Women Physicians, and is now with the University of California, San Diego.

Am J Dis Child. 1983;137(6):595-597. doi:10.1001/archpedi.1983.02140320071016

• Although the availability of flexible fiberoptic bronchoscopy (FFB) has been a major advance in adult pulmonary medicine, the role of FFB in pediatrics has remained less well defined. Therefore, a two-year retrospective study was undertaken to determine the indications for FFB in 95 pediatric patients (mean age, 6.9 years) who underwent 129 FFB procedures. Indications for FFB included stridor (41/129), abnormal chest roentgenogram (38/129), airway evaluation in patients with tracheostomy (13/129), airway obstruction (11/129), hoarseness (9/129), recurrent pneumonia (7/129), chronic cough (4/129), failed extubation (3/129), tracheal injury (2/129), and hemoptysis (1/129). Overall, a specific diagnosis was made in 88% of cases, of which 48% involved a lower airway disorder. A minor complication rate of 2% was observed with no major complications.

(Am J Dis Child 1983;137:595-597)