Abstract
While neonatal bronchoscopy remains an important and on occasion a life-saving tool in dealing with neonatal airway emergencies, over the past decade there has been little opportunity to teach this technique to neonatologists in training. While a few still practicing individuals have the requisite skill sets, even they are called upon less and less, and thus it seems prudent in 2016 to recommend that when a neonate has an indication for an acute or less urgent upper or lower airway endoscopy, each unit identifies an available skilled individual to perform this procedure. Such individuals may be pediatric pulmonologists, pediatric anesthetists, pediatric intensivists, pediatric otolaryngologists, or experienced adult endoscopists.
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Suggested Reading
Berkowitz RG. Neonatal upper airway assessment by awake flexible laryngoscopy. Ann Otol Rhinol Laryngol. 1998;107:75–80.
Bloch ED, Filston HC. A thin fiberoptic bronchoscope as an aid to occlusion of the fistula in infants with tracheoesophageal fistula. Anesth Analg. 1988;67:791–3.
Ellis DS, Potluri PK, O’Flaherty JE, Baum VC. Difficult airway management in the neonate: a simple method of intubating through a laryngeal mask airway. Paediatr Anaesth. 1999;9:460–2.
Etches PC, Finer NN. Use of an ultrathin fiberoptic catheter for neonatal endotracheal tube problem diagnosis. Crit Care Med. 1989;17:202.
Finer NN, Etches PC. Fibreoptic bronchoscopy in the neonate. Pediatr Pulmonol. 1989;7:116–20.
Finer NN, Muzyka D. Flexible endoscopic intubation of the neonate. Pediatr Pulmonol. 1992;12:48–51.
Hawkins CM, Towbin AJ. Rupture of the left mainstem bronchus following endotracheal intubation in a neonate. Pediatr Radiol. 2011;41(5):668–70.
Hinton AE, O’Connell JM, van Besouw JP, Wyatt MEJ. Neonatal and paediatric fibre-optic laryngoscopy and bronchoscopy using the laryngeal mask airway. Laryngol Otol. 1997;111(4):349–53.
Lee YS, Soong WJ, Jeng MJ, et al. Endotracheal tube position in pediatrics and neonates: comparison between flexible fiberoptic bronchoscopy and chest radiograph. Zhonghua Yi Xue Za Zhi. 2002;65:341–4.
O’Shea JE, Thio M, Kamlin CO, McGrory L, Wong C, John J, Roberts C, Kuschel C, Davis PG. Videolaryngoscopy to teach neonatal intubation: a randomized trial. Pediatrics. 2015;136(5):912–9.
Reeves ST, Burt N, Smith CD. Is it time to reevaluate the airway management of tracheoesophageal fistula? Anesth Analg. 1995;81:866–9.
Rotschild A, Chitayat D, Puterman ML, et al. Optimal positioning of endotracheal tubes for ventilation of preterm infants. Am J Dis Child. 1991;145:1007–17.
Shinwell ES, Higgins RD, Auten RL, Shapiro DL. Fiberoptic bronchoscopy in the treatment of intubated neonates. Am J Dis Child. 1989;143:1064–5.
Vanderhal AL, Berci G, Simmons Jr CF, Hagiike MA. Videolaryngoscopy technique for the intubation of the newborn: preliminary report. Pediatrics. 2009;124(2):e339–46.
Vauthy PA, Reddy R. Acute upper airway obstruction in infants and children. Evaluation by the fiberoptic bronchoscope. Ann Otol Rhinol Laryngol. 1980;89:417–8.
Vijayasekaran D, Kalpana S, Ramachandran P, Nedunchelian K. Indications and outcome of flexible bronchoscopy in neonates. Indian J Pediatr. 2012;79(9):1181–4.
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Finer, N.N. (2017). Bronchoscopy. In: Donn, S., Sinha, S. (eds) Manual of Neonatal Respiratory Care. Springer, Cham. https://doi.org/10.1007/978-3-319-39839-6_26
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DOI: https://doi.org/10.1007/978-3-319-39839-6_26
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