Completely revised and updated, the second edition of this authoritative guide provides the latest information on the diagnosis, treatment, and ongoing management of pulmonary issues in children. Available for purchase at https://www.aap.org/Pediatric-Pulmonology-2nd-Edition-Paperback
8: Bronchoscopy
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Published:November 2023
Pi Chun Cheng, MD, MS, Samuel B. Goldfarb, MD, "Bronchoscopy", Pediatric Pulmonology, American Academy of Pediatrics Section on Pediatric Pulmonology and Sleep Medicine, Michael J. Light, MD, FAAP, Kristin Van Hook, MD, MPH, FAAP
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Until relatively recently, direct evaluation of a young child’s airway required the skills of a surgeon versed in rigid (open tube) bronchoscopy, with the child under general anesthesia. Flexible bronchoscopy became routinely available in the United States in 1969, but use of the technique was restricted in children because of the instruments’ size limitations. By 1980, a commercially available scope that was 3.5 mm in diameter with an integral suction channel and a tip that could be directed was being used to evaluate newborns.1 With improvements in fiberoptic technology, thinner (eg, 2.8 mm) bronchoscopes could be made without sacrificing...