[Rigid respiratory endoscopy in children].
Klíčová slova
Abstraktní
From march 1989 to march 1992, three hundred and fifty six respiratory endoscopies were performed at "Hospital da Criança Santo Antônio", Porto Alegre, Brazil. The endoscopies were performed with a rigid pediatric bronchoscope and under general anaesthesia. The most common indications for endoscopy were stridor (52%), suspected foreign body (16%), atelectasis (16%) and difficult tracheal extubation (8%). The most frequent diagnosis were laryngomalacia (36%) and subglottic stenosis (6%) in the glottic and subglottic areas, and foreign body (9%) and tracheomalacia (7%) in the tracheobronchial area. Normal endoscopy was observed in 54 (21%) of the children. Only three slight complications of the endoscopy were observed. Two patients presented bradycardia during the exam, and the third needed tracheal intubation due to post-endoscopic subglottic edema. This confirms that the rigid endoscopy in children is efficient and has no serious complications.