Pediatric bronchoscopy usefulness in the context of the covid-19 pandemic in an Andean country
ME. Arauz Martinez*a (Dr), R. Rios-Mendeza (Dr), R. Yora Ortaa (Dr)
a HOSPITAL PUBLICO PEDIATRICO BACA ORTIZ, Quito, ECUADOR
* dramariaarauz@gmail.com
Introduction: Pediatric bronchoscopy (PB) is very useful in pulmonology, during the covid-19 pandemic limits high aerosolization procedures including bronchoscopy being used in absolutely necessary emergency or urgent situations.
Materials and methods: Descriptive cross-sectional studies were carried out on pediatric patients. These procedures were performed with flexible fiberoptic bronchoscopy 3.5 and 5.5; and rigid bronchoscopy from 2.5 to 5.5 in diameter, in addition to rigid and flexible foreign body extraction forceps, the procedures were during the covid-19 pandemic at the Baca Pediatric Hospital Ortiz.
Results: From February 2014 to March 2022, a total of 794 rigid and flexible bronchoscopy procedures have been performed by an interventional pulmonology operator. During the most critical hospital period of the pandemic from March 2020 to July 2021, when operating room spaces were limited, 65 pediatric endoscopies were performed. The age range: 2 months to 16 years, with a weight range of 3 to 65 Kg. The prevalence of emergency bronchoscopy was 46.15% (30 patients), airway obstruction being the most frequent cause with 21 patients (three with positive SARS-COV2 and Cystic fibrosis) and 9 minors with airway stenosis moderate to severe pediatric: subglottic stenosis and tracheal stenosis. The prevalence of urgency bronchoscopy was 53.84% (35 patients), with foreign body aspiration being the highest rate with 16 children, having two patients with positive Covid-19 and foreign body in the airway, following in prevalence bronchoalveolar lavage in children with compromise 12 patients and 7 children with hemoptysis. The most rescued germ in bronchoalveolar lavage cultures was Pesudomona aeruginosa. The complication was reported in 2 patients: laryngospasm and subcutaneous emphysema.
Conclusions: The BP were procedures safe realized in emergency and urgency diagnosis during the covid-19 pandemic
Bibliography:
1.https://neumoped.org/wp-content/uploads/2019/05/2014-Libro-Broncoscopia-312p.
2.pdfhttps://www.scielo.cl/scielo.php?script=sci_serial&pid=0717-7348&lng=es&nrm=iso
Disclosure of funding source(s): none