Broncoscopia flexible en la reexpansión de atelectasias persistentes en pediatría
Role of flexible bronchoscopy in the re-expansion of persistent atelectasis in children
N.L. Holmgren
, M. Córdova, P. Ortúzar, I. Sánchez
Corresponding author
Sección de Respiratorio Pediátrico. Departamento de Pediatría. Pontificia Universidad Católica de Chile
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"apellidos" => "Córdova" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Ortúzar" ] 3 => array:2 [ "nombre" => "I." "apellidos" => "Sánchez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Respiratorio Pediátrico. Departamento de Pediatría. Pontificia Universidad Católica de Chile" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Marcoleta, 434, Santiago. Chile" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Role of flexible bronchoscopy in the re-expansion of persistent atelectasis in children" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-05-08" "fechaAceptado" => "2002-05-07" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190553" "palabras" => array:3 [ 0 => "Broncoscopia" 1 => "Atelectasia" 2 => "Niños" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190554" "palabras" => array:3 [ 0 => "Bronchoscopy" 1 => "Atelectasis" 2 => "Children" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la efectividad de la broncoscopia flexible más lavado broncoalveolar en la reexpansión de atelectasias persistentes (más de 3 semanas de evolución) en pacientes pediátricos</p> <span class="elsevierStyleSectionTitle">Pacientes Y Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Revisión retrospectiva de las fichas clínicas de 83 pacientes pediátricos sometidos a fibrobroncoscopia flexible más lavado broncoalveolar por atelectasias persistentes. Se establecieron tres categorías de la evolución radiológica: a) reexpansión completa, al haber mejoría completa de la imagen inicial; b) reexpansión parcial, al haber disminución de imagen radiológica en más del 50% y menos del 100%, y c) sin reexpansión, al existir disminución de imagen radiológica menor del 50%</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los hallazgos endoscópicos fueron tapones de secreciones en 54 pacientes (65%); malformaciones bronquiales en 16 pacientes (19%); estenosis bronquial en 5 pa-cientes (6%); vía aérea normal en 5 pacientes (6%), y misceláneos en 3 pacientes (4%). La evolución radiológica posterior a la fibrobroncoscopia demostró reexpansión completa en 34 pacientes (41%); reexpansión parcial en 28 pacientes (34%), y no hubo cambios en 21 pacientes (25%)</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La fibrobroncoscopia más lavado broncoalveolar es útil en la reexpansión de atelectasias persistentes en un alto porcentaje de pacientes pediátricos</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the efficacy of flexible bronchoscopy plus bronchoalveolar lavage for the reexpansion of persistent atelectasis (course longer than 3 weeks) in children</p> <span class="elsevierStyleSectionTitle">Patients And Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective review of the records of 83 children who underwent flexible fiberoptic bronchoscopy plus bronchoalveolar lavage for persistent atelectasis. Three categories of evolution were established for radiologic assessment: a) full re-expansion (full improvement over the initial image); b) partial re-expansion (decreased atelectasis of between 50% and 100%); and c) no change (if the decrease was less than 50% of the initial image)</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Endoscopy revealed mucus plugs in 54 patients (65%); bronchial malformations in 16 (19%); bronchial stenosis in 5 (6%); normal airways in 5 (6%) and other findings in 3 (4%). Radiologic changes after bronchoscopy showed full expansion for 34 patients (41%), partial re-expansion for 28 (34%) and no changes for 21 (25%)</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Flexible bronchoscopy plus bronchoalveolar lavage for the re-expansion of persistent atelectasis is useful in a high percentage of children</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spelunking in the pediatric airways: explorations with the flexible fiberoptic bronchoscope" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.E. 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