Skip to main content
SpringerLink
Log in

Implications of Rigid Bronchoscopy: An Eight-Year Review in a Pediatric Intensive Care Unit

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Introduction

Rigid bronchoscopy is an endoscopic technique used to visualize the airway, and rigid bronchoscopy is performed for both diagnostic and therapeutic indications. We defined the clinical characteristics of pediatric intensive care unit (PICU) patients undergoing bronchoscopy to establish a predictive model for early discharge from the PICU. Prediction can provide tangible aid in managing PICU patients.

Objective(s)

The primary objectives of this research are to evaluate the impact of different bronchoscopic procedures on the duration of PICU stay and to determine the Predictors of PICU discharge.

Methods

We retrospectively reviewed records of 451 PICU admissions from 2012 to 2019 at our institution. In total, 36 pediatric patients under 12 years of age undergoing interventional rigid bronchoscopy during their PICU stay were studied. This study examined the impact of bronchoscopic procedures on the duration of PICU stays. Patients were categorized into three groups according to the number of bronchoscopic interventions used to evaluate the implications of different bronchoscopic procedures on the duration of PICU stay.

Results

Multiple linear regression analysis was used to test the predictors of PICU discharge. Tracheostomy and gender were significant predictors (p = 0.072 and 0.060, respectively), but first bronchoscopy showed strong significance (p = 0.002).

Conclusion (s)

Our findings have shown that early bronchoscopic interventions assisted in early critical care unit discharge, and most patients who did not benefit from the first bronchoscopy were complicated cases that could explain the long stay in the PICU.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Paradis TJ, Dixon J, Tieu BH (2016) The role of bronchoscopy in the diagnosis of airway disease. J Thorac Dis 8:26–37

    Article  Google Scholar 

  2. Tai DY (1998) Bronchoscopy in the intensive care unit (ICU). Ann Acad Med Singap 27:552–559

    CAS  PubMed  Google Scholar 

  3. Ayers ML, Beamis J Jr (2001) Rigid bronchoscopy in the twenty-first century.Clin Chest Med 22.2:355–64.

  4. Sirio CA, Tajimi K, Taenaka N, Ujike Y, Okamoto K, Katsuya H et al (2002) A cross-cultural comparison of critical care delivery. Chest 121:539–548

    Article  PubMed  Google Scholar 

  5. Marcin JP, Slonim AD, Pollack MM, Ruttimann UE (2001) Long-stay patients in the pediatric intensive care unit. Crit Care Med 29:652–657

    Article  CAS  PubMed  Google Scholar 

  6. Naghib S, van der Starre C, Gischler SJ, Joosten KF, Tibboel D (2010) Mortality in very long-stay pediatric intensive care unit patients and incidence of withdrawal of treatment. Intensive care med 36:131–136

    Article  PubMed  Google Scholar 

  7. Pathak V, Welsby I, Mahmood K, Wahidi M, MacIntyre N, Shofer S et al (2014) Ventilation and anesthetic approaches for rigid bronchoscopy. Ann Am Thorac Soc 11:628–634

    Article  PubMed  Google Scholar 

  8. Ciftci AO, Bingöl-Koloğlu M, Şenocak ME, Tanyel FC, Büyükpamukçu N (2003) Bronchoscopy for evaluation of foreign body aspiration in children. J Pediatr Surg 38:1170–1176

    Article  PubMed  Google Scholar 

  9. Carr MM, Nguyen A, Poje C, Pizzuto M, Nagy M, Brodsky L et al (2000) Correlation of findings on direct laryngoscopy and bronchoscopy with presence of extraesophageal reflux disease. Laryngoscope 110:1560–1562

    Article  CAS  PubMed  Google Scholar 

  10. Brandi S, Troster EJ, Cunha ML (2020) Length of stay in pediatric intensive care unit: prediction model.Einstein (Sao Paulo)18

  11. Ruttimann UE, Pollack MM (1996) Variability in duration of stay in pediatric intensive care units: a multiinstitutional study. J Pediatr 128:35–44

    Article  CAS  PubMed  Google Scholar 

  12. Ertugrul I, Kesici S, Bayrakci B, Unal OF (2016) Tracheostomy in pediatric intensive care unit: when and where? Iran J Pediatr 26(1)

  13. Da Silva PS, Waisberg J, Paulo CS, Colugnati F, Martins LC (2005) Outcome of patients requiring tracheostomy in a pediatric intensive care unit. Pediatr Int 47:554–559

    Article  PubMed  Google Scholar 

Download references

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

    Talal Al-Khatib

Authors
  1. Talal Al-Khatib
    View author publications

    You can also search for this author in PubMed Google Scholar

Ethics declarations

Declarations of Interest

The authors have no conflicts of interest to declare.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Al-Khatib, T. Implications of Rigid Bronchoscopy: An Eight-Year Review in a Pediatric Intensive Care Unit. Indian J Otolaryngol Head Neck Surg 75, 338–342 (2023). https://doi.org/10.1007/s12070-022-03188-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-022-03188-w

Keywords

Search

Navigation