ABSTRACT

Bronchoscopy in pediatrics is a diagnostic procedure of great value for respiratory disease, in some cases it even is a therapeutic procedure that resolves the problem. There are differences between indications in children than that for adults, for instance search for lung cancer. Aspiration of a foreign body might be one of the procedures with more spectacular results but not the most frequent indication. Indications in children are: suspicion of congenital malformations of the airway, obstruction of the airway either congenital on acquired, wheezing, cystic fibrosis, chronic cough, immunodeficiency with radiologic findings in the lung, to do a bronchoalveolar lavage to find the microbiologic agent and do the pertinent change of antibiotics. There are other therapeutic uses like intubation of the difficult airway or other more sophisticated issues. Complications of the procedure are rare and in children are related to the size of the airway and the size of the equipment to be used. The use of topical anesthesia is a particular issue. It is recommended to have a video or printed photos of the study as a documentation to review or discuss each case as for teaching purposes for trainees.

KEYWORDS

Bronchoscopy, children, airway, lavage.

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