Abstract

In acute respiratory distress, bronchial endoscopy is useful to determine the nature of dyspnea: inspiratory dyspnea in laryngeal abnormalities and obstructions; mixed inspiratory and expiratory dyspnea in extrinsic and intrinsic compressions of the tracheobronchial tree; overall, foreign bodies. Moreover, it allows the evaluation of the lesions in bronchial contusions, tracheobronchial burns and hemoptysis. Flexible (fiberoptic) and rigid endoscopy are complementary methods. Bronchoalveolar lavage is useful in the microbiological investigation of pneumonias developing in immuno compromised children.

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