Abstract

Objective To discuss the role and safety of fiberoptic bronchoscopy for diagnosing and treating respiratory disease in PICU. Methods A total of 95 eligible children with respiratory diseases admi-tted in PICU of Hu′nan Province Children′s Hospital were enrolled in this retrospective study from January 2013 to December 2013, and the efficacy and complications of fiberoptic bronchoscopy were assessed. Results A total of 95 children underwented bronchoscopy 112 times, the most common of microscopic examination results was tracheal bronchitis (62.1%), followed by congenital airway abnormality (21.1%); 58 times (56.9%) showed becteria positive in 102 times lavage and sputum culture results, including 16 times (27.6%) of Klebsiella pneumoniae bacteria, 12 times (20.7%) of Acinetobacter baumannii. After underwenting bronchoscopy and lavage wash, blood gas analysis of pH value, PaO2, PaCO2, SaO2 had significant improvement than before (P 0.05). The intraoperative and postoperative transient complications were observed in 38 times (33.9%). Conclusion The application of fiberoptic bronchoscopy for diagnosing and treating disease in PICU has a certain value, its overall safety is reliable. Key words: Fiber bronchoscope; Pediatric intensive care unit; Safety

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