0
Abstract: Slide Presentations |

Flexible Fiberoptic Bronchoscopy in Severe Pediatric Asthma FREE TO VIEW

Carlos Maggi, Doctor
Author and Funding Information

Miller Children’s Hospital, Long Beach, CA


Chest


Chest. 2003;124(4_MeetingAbstracts):129S. doi:10.1378/chest.124.4_MeetingAbstracts.129S-a
Text Size: A A A
Published online

Abstract

PURPOSE:  Of the 72 children admitted to our Pediatric Intensive Care Unit (PICU), in a period of 12 months, with diagnosis of severe status asthmaticus, 8 consecutive nonintubated patients with impending respiratory failure and poor response to bronchodilators were evaluated after flexible bronchoscopy and bronchial lavage.MATERIALS AND METHODS: All eight patients were admitted to the PICU with status asthmaticus in severe respiratory distress, with a clinical asthma score (CAS) of 5 or more. B) All had required albuterol continuous aerosolized treatments for more than 12 hours without improvement or worsening of their clinical condition. C) All had received intravenous solumedrol 2mg/kg/dose every 6 hours and were receiving atrovent 0.2mg aerosols every 4 hours. D) Six of the 8 patients were receiving a mixture of heliox 70/30 and two were receiving O2 therapy in excess of 40% by face mask. E) All patients received flexible bronchoscopy and bronchial lavage.

RESULTS:  All 8 patients were noted to have thick mucus plugs and/or casts of bronchial secretions removed during bronchial lavage and exhibited prompt improvement following bronchoscopy. CAS dropped to ≤ 4 in all patients immediately following bronchoscopy and heliox was discontinued in the 6 patients within 2 hours after the bronchoscopy. continuous albuterol was discontinued for all patients within 6 hours after bronchoscopy. All patients survived and no complications were noted.

CONCLUSION:  Flexible fiberoptic bronchoscopy is safe, and may be an effective therapeutic tool to treat pediatric patients with severe status asthmaticus who are not responding promptly to bronchodilators.

DISCLOSURE:  C. Maggi, None.

Wednesday, October 29, 2003

10:30 AM - 12:00 PM


Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543