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Pediatric respiratory endoscopy

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https://www.readbyqxmd.com/read/27328637/longitudinal-follow-up-of-chronic-pulmonary-manifestations-in-esophageal-atresia-a-clinical-algorithm-and-review-of-the-literature
#1
Virginia Mirra, Marco Maglione, Laida L Di Micco, Silvia Montella, Francesca Santamaria
In the past decades improved surgical techniques and better neonatal supportive care have resulted in reduced mortality of patients with esophageal atresia (EA), with or without tracheoesophageal fistula, and in increased prevalence of long-term complications, especially respiratory manifestations. This integrative review describes the techniques currently used in the pediatric clinical practice for assessing EA-related respiratory disease. We also present a novel algorithm for the evaluation and surveillance of lung disease in EA...
May 29, 2016: Pediatrics and Neonatology
https://www.readbyqxmd.com/read/27184508/airway-reconstruction-review-of-an-approach-to-the-advanced-stage-laryngotracheal-stenosis
#2
Mohamad Ahmad Bitar, Randa Al Barazi, Rana Barakeh
INTRODUCTION: The management of laryngotracheal stenosis is complex and is influenced by multiple factors that can affect the ultimate outcome. Advanced lesions represent a special challenge to the treating surgeon to find the best remedying technique. OBJECTIVE: To review the efficacy of our surgical reconstructive approach in managing advanced-stage laryngotracheal stenosis treated at a tertiary medical center. METHODS: A retrospective review of all patients that underwent open laryngotracheal repair/reconstruction by the senior author between 2002 and 2014...
April 27, 2016: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27111823/evaluation-of-the-explorer-endoscopy-mask-%C3%A2-for-esogastroduodenoscopy-in-children-a-retrospective-study-of-173-cases
#3
Arnaud Potié, Caroline Prégardien, Thierry Pirotte, Xavier Stephenne, Isabelle Scheers, Catherine Wanty, Françoise Smets, Etienne Sokal, Francis Veyckemans
AIMS: The aim of this study was to evaluate the usability and safety of the Explorer Endoscopy Mask(®) (EM) as an alternative to endotracheal intubation in children undergoing elective esogastroduodenoscopy (EGD) under general anesthesia (GA). METHODS: This study was a retrospective observational study. The study was undertaken at the pediatric digestive endoscopy suite in the Cliniques universitaires Saint-Luc, Brussels, Belgium. We retrospectively analyzed the occurrence of minor and major airway-related adverse effects during pediatric EGD procedures performed under GA with the EM between June 2014 and March 2015...
June 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27105321/pediatric-pulmonology-year-in-review-2015-part-3
#4
REVIEW
David J Birnkrant, Ozge Yilmaz, Thomas Nicolai, Jane B Black, Maroun J Mhanna, Terry L Noah
Our journal covers a broad range of research and scholarly topics related to children's respiratory disorders. For updated perspectives on the rapidly expanding knowledge in our field, we will summarize the past year's publications in our major topic areas, as well as selected publications in these areas from the core clinical journal literature outside our own pages. The current review (Part 3) covers articles on asthma, diagnostic testing/endoscopy, respiratory complications of neuromuscular disorders, and rare lung diseases...
July 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/26770901/the-importance-of-esophageal-and-gastric-diseases-as-causes-of-chest-pain
#5
Yong Joo Kim, Eun Jung Shin, Nam Su Kim, Young Ho Lee, Eun Woo Nam
PURPOSE: Pediatric chest pain is considered to be idiopathic or caused by benign diseases. This study was to find out how much upper gastrointestinal (UGI) diseases are major causes of chest pain in pediatric patients. METHODS: The records of 75 children (42 boys and 33 girls, aged 3-17 years old) who have presented with mainly chest pain from January 1995 to March 2015 were retrospectively reviewed. Chest X-ray and electrocardiography (ECG) were performed in all aptients...
December 2015: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/26701945/evaluation-of-the-likelihood-of-reflux-developing-in-patients-with-recurrent-upper-respiratory-infections-recurrent-sinusitis-or-recurrent-otitis-seen-in-ear-nose-throat-outpatient-clinics
#6
Zerrin Önal, Fügen Çullu-Çokuğraş, Hüseyin Işıldak, Asım Kaytaz, Tufan Kutlu, Tülay Erkan, Gülen Doğusoy
Gastroesophageal reflux is considered a risk factor for recurrent or persistent upper and lower respiratory tract conditions including asthma, chronic cough, sinusitis, laryngitis, serous otitis and paroxysmal laryngospasm. Fifty-one subjects with recurrent (more than three) episodes of upper respiratory tract infection (URTI), serous otitis or sinusitis who had been admitted to an earnose- throat (ENT) outpatient clinic during the previous year were enrolled in the present study to evaluate the presence of laryngeal and/or esophageal reflux...
May 2015: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/26655785/upper-airway-obstruction-and-hemoptysis-due-to-a-leech-infestation-in-a-child
#7
G Draiss, K Razzouki, Y Mouaffak, M Bouskraoui, S Younous
This paper presents the case of a 12-year-old child who presented with an 8-day history of cough, respiratory distress, and hemoptysis. He was admitted first to the pediatric intensive care unit to reestablish hemodynamic and respiratory stability. The chest X-ray showed a bilateral alveolar-interstitial syndrome. Four hours after admission, he had a coughing fit, moderately abundant hemoptysis, and a leech appeared in his mouth, which was removed by the mother. Symptoms completely disappeared afterwards. Endoscopy and ear-throat-laryngeal examination done thereafter were normal...
January 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/26579502/streptococcus-bovis-bacteremia-in-neonates-in-a-predominantly-hispanic-population
#8
Alicia Alvarez, Yi Jia, Cesar J Garcia, Eduardo D Rosas-Blum, Darius Boman, Marc J Zuckerman
BACKGROUND: Streptococcus bovis bacteremia has been associated with gastrointestinal diseases, especially colon cancer, neoplastic colon polyps, and other malignancies of the GI tract in adults. Sporadic cases of S. bovis disease have also been reported in neonates and young infants. Although uncommon, S. bovis infection can cause fulminant neonatal sepsis and meningitis. OBJECTIVES: We report a series of pediatric patients with S. bovis bacteremia in a county hospital in a United States-Mexico border city in order to examine the demographic and clinical associations...
2015: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/26418315/flexible-airway-endoscopy-in-children
#9
Lystra Hayden, Debra Boyer, Erik Bradford Hysinger, Paul E Moore, Albert Faro, Kevin C Wilson, Carey C Thomson
The American Thoracic Society (ATS) previously published standards for Flexible Airway Endoscopy (FAE) in children in the American Review of Respiratory Diseases in 1992 [1]. Since that time there have been significant advances in the field with expansion in the use of FAE for diagnostic and therapeutic purposes. The ATS formed a multidisciplinary committee of international experts to develop new technical standards. The standards are based largely upon the experience of committee members, as there is minimal evidence related to pediatric FAE available from clinical trials and controlled observational studies...
September 29, 2015: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/26172014/-diagnosis-and-treatment-of-pediatric-subglottic-stenosis-experience-in-a-tertiary-care-center
#10
Hugo Alberto Botto, Cinthia Giselle Pérez, Alejandro Cocciaglia, Mary Nieto, Hugo Aníbal Rodríguez
Subglottic stenosis is among the most common causes of airway obstruction in children, 90% of which resulting from endotracheal intubation. The diagnosis is based on the patient's clinical, radiologic evaluation, flexible laryngoscopy and rigid airway endoscopy under general anesthesia. It must be suspected in children with respiratory distress after extubation. The therapeutic approach depends on the severity of the subglottic stenosis and the patient's symptoms. We describe our experience with the subglottic stenosis etiologies, diagnosis, treatment and outcome of patients with this condition...
August 2015: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/26037782/tissue-engineered-tracheal-replacement-in-a-child-a-4-year-follow-up-study
#11
N J Hamilton, M Kanani, D J Roebuck, R J Hewitt, R Cetto, E J Culme-Seymour, E Toll, A J Bates, A P Comerford, C A McLaren, C R Butler, C Crowley, D McIntyre, N J Sebire, S M Janes, C O'Callaghan, C Mason, P De Coppi, M W Lowdell, M J Elliott, M A Birchall
In 2010, a tissue-engineered trachea was transplanted into a 10-year-old child using a decellularized deceased donor trachea repopulated with the recipient's respiratory epithelium and mesenchymal stromal cells. We report the child's clinical progress, tracheal epithelialization and costs over the 4 years. A chronology of events was derived from clinical notes and costs determined using reference costs per procedure. Serial tracheoscopy images, lung function tests and anti-HLA blood samples were compared. Epithelial morphology and T cell, Ki67 and cleaved caspase 3 activity were examined...
October 2015: American Journal of Transplantation
https://www.readbyqxmd.com/read/25932763/official-american-thoracic-society-technical-standards-flexible-airway-endoscopy-in-children
#12
Albert Faro, Robert E Wood, Michael S Schechter, Albin B Leong, Eric Wittkugel, Kathy Abode, James F Chmiel, Cori Daines, Stephanie Davis, Ernst Eber, Charles Huddleston, Todd Kilbaugh, Geoffrey Kurland, Fabio Midulla, David Molter, Gregory S Montgomery, George Retsch-Bogart, Michael J Rutter, Gary Visner, Stephen A Walczak, Thomas W Ferkol, Peter H Michelson
BACKGROUND: Flexible airway endoscopy (FAE) is an accepted and frequently performed procedure in the evaluation of children with known or suspected airway and lung parenchymal disorders. However, published technical standards on how to perform FAE in children are lacking. METHODS: The American Thoracic Society (ATS) approved the formation of a multidisciplinary committee to delineate technical standards for performing FAE in children. The committee completed a pragmatic synthesis of the evidence and used the evidence synthesis to answer clinically relevant questions...
May 1, 2015: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/25818348/pediatric-patients-with-chronic-cough-and-recurrent-croup-the-case-for-a-multidisciplinary-approach
#13
Melanie Greifer, Maria T Santiago, Kalliope Tsirilakis, Jeffrey C Cheng, Lee P Smith
OBJECTIVE: To evaluate the results of our multidisciplinary approach to recurrent croup and chronic cough. METHODS: Retrospective chart review of all patients with recurrent croup and chronic cough managed at a tertiary care children's hospital by our Comprehensive Airway, Respiratory, and Esophageal (CARE) Team. Charts were reviewed for all patients who carried a diagnosis of recurrent croup or chronic cough. Patients were excluded if they did not receive a full workup, including micro-direct laryngoscopy, flexible and/or rigid bronchoscopy, bronchioalveolar lavage (BAL), and upper endoscopy with biopsies...
May 2015: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/25659394/oropharyngeal-dysphagia-an-underestimated-disorder-in-pediatrics
#14
Esther Vaquero-Sosa, Laura Francisco-González, Andrés Bodas-Pinedo, Cristina Urbasos-Garzón, Antonio Ruiz-de-León-San-Juan
Oropharyngeal dysphagia is a rather frequent clinical entity in patients with neurological problems that can lead to serious complications such as aspiration pneumonia and other disorders like dehydration or malnutrition due to feeding difficulties. It should be suspected in children with splitting of food intake or prolonged feeding, coughing or choking during feeding, continuous drooling or repeated respiratory symptoms. For the diagnosis, apart from the examination of swallowing, additional tests can be run like the water-swallowing test, the viscosity-volume test (which determines what kind of texture and how much volume the patient is able to tolerate), a fiberoptic endoscopy of swallowing or a videofluoroscopic swallow study, which is the gold standard for the study of swallowing disorders...
February 2015: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/25376401/pediatric-tracheal-tumor-masked-by-a-history-of-travel-case-report-and-literature-review
#15
REVIEW
Marci J Pugnale, Alison Maresh, Pranava Sinha, Christopher Rossi, Jonathan Murnick, Brian K Reilly
A previously healthy 10-year-old female reported a 1-month history of wheezing and hemoptysis. Initial evaluation and treatment were focused on refractory reactive airway disease and infectious etiologies prompted by her recent travels in Africa. Worsening respiratory distress prompted emergent evaluation with imaging and endoscopy. Bronchoscopy diagnosed a distal tracheal tumor; pathology of this tumor was benign fibrous histiocytoma. Successful management of this condition included imaging, rigid bronchoscopy with biopsy, and tracheal resection to surgically excise the lesion...
April 2015: Laryngoscope
https://www.readbyqxmd.com/read/25077830/a-chief-of-service-rotation-as-an-alternative-approach-to-pediatric-otolaryngology-inpatient-care
#16
Eelam Adil, Roy Xiao, Trevor McGill, Reza Rahbar, Michael Cunningham
IMPORTANCE: Maintaining an outpatient practice and providing high-quality inpatient care pose significant challenges to the traditional call team approach. OBJECTIVE: To introduce a unique rotating hospitalist inpatient program and assess its clinical, educational, and financial impact. The chief of service (COS) program requires 1 attending physician to rotate weekly as chief of the inpatient service with no conflicting elective duties. DESIGN, SETTING, AND PARTICIPANTS: This was a retrospective internal billing data review performed at a tertiary pediatric hospital...
September 2014: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/25048996/-is-there-an-appropriate-bispectral-index-for-upper-gastrointestinal-endoscopy-in-spontaneous-breathing-in-the-pediatric-patient
#17
F J Alados-Arboledas, M P Millán-Bueno, J F Expósito-Montes, A Arévalo-Garrido, A Pérez-Parras, J de la Cruz-Moreno
OBJECTIVE: The bispectral index (BIS) values that predict appropriate anesthetic level to perform an upper gastrointestinal endoscopy in spontaneous breathing are not well established in Pediatrics. The objective of this study is to determine whether it is possible to find an appropriate, less profound, BIS level in the pediatric patient that would enable an upper gastrointestinal endoscopy (UGE) to be performed in spontaneous breathing without causing gag reflex or motor response. MATERIAL AND METHOD: A prospective study was designed and included 61 patients from 12-167 months old, and an ASAI-II who needed a diagnostic UGE...
March 2015: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/25022423/laryngotracheal-reconstruction-for-pediatric-glotto-subglottic-stenosis
#18
Kazumichi Yamamoto, Philippe Monnier, Florence Holtz, Yves Jaquet
BACKGROUND: The management of pediatric laryngotracheal stenosis (LTS) can be challenging, and laryngotracheal reconstruction (LTR) with cartilage interposition grafting remains the mainstay of surgical treatment for pediatric LTS in most experienced centers. The purpose of this study was to report the results of this procedure in a center where primary cricotracheal resection is frequently performed. METHODS: A retrospective chart review was performed on 45 patients who underwent LTR in our hospital between October 1997 and July 2012...
September 2014: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/24735606/laryngeal-cleft-evaluation-and-management
#19
REVIEW
Douglas R Johnston, Karen Watters, Lynne R Ferrari, Reza Rahbar
OBJECTIVES: Review the latest diagnostic and treatment modalities for laryngeal and laryngotracheoesophageal clefts as they can be a major cause of respiratory and feeding morbidity in the infant and pediatric population. METHODS: Literature review of published reports. RESULTS: The presentation of laryngeal cleft usually involves respiratory symptoms, such as stridor, chronic cough, aspiration, and recurrent respiratory infections. Clefts of the larynx and trachea/esophagus can occur in isolation, as part of a syndrome (Opitz-Frias, VATER/VACTERL, Pallister Hall, CHARGE), or with other associated malformations (gastrointestinal, genitourinary, cardiac, craniofacial)...
June 2014: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/24710786/-pathologies-of-the-larynx-and-trachea-in-childhood
#20
REVIEW
C Sittel
Pathologies in the larynx and trachea in the pediatric age can be characterized in 4 main groups: airway stenosis, acute infections, benign neoplasia and foreign body aspiration. In this review main diagnostic strategies and therapeutic options are presented. Laryngomalazia is the most frequent condition of supraglottic stenosis. The term supraglottoplasty summarizes all different techniques used for it's repair using an endoscopic approach. Glottic stenosis is rare in children. Usually a compromise between voice preservation and airway restoration has to be sought...
March 2014: Laryngo- Rhino- Otologie
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