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Pediatric Bronchoscopy And Airway Reconstruction - Manipal Hospitals

Paediatric Bronchoscopy and Airway Reconstruction

Paediatric Bronchoscopy and Airway Reconstruction

Bronchoscopy is a key procedure in evaluating airway disease in children, allowing for both diagnosis and treatment. Depending on the patient's needs and the bronchoscopist's expertise, either rigid or flexible tools may be used. This procedure not only provides a visual examination of the airways but also enables the collection of lung specimens, removal of secretions, or taking of a tissue biopsy. These samples can be tested for infections. While bronchoscopy is often used to diagnose respiratory issues, it can also assess the healing of the trachea, bronchi, or lungs after surgery. During the procedure performed at the Department of paediatric Bronchoscopy and Airway Reconstruction, Manipal Hospitals is performed under general anaesthesia, a thin, flexible tube with a light (bronchoscope) is inserted into the child's airway for a detailed examination.

FAQ's

  • A flexible bronchoscope is a thin, flexible tube with a camera at the tip. 

  • The airways of children with respiratory problems are examined with a flexible bronchoscope. 

  • A thorough inspection of the baby's airways is conducted after a flexible bronchoscope is carefully inserted through its nose. 

  • Both video and extremely high-quality photos are captured. Furthermore, secretions and samples can be obtained for comprehensive microbiological testing with Flexible Bronchoscopy, which may prove to be very helpful in the course of treatment.

A Flexible Bronchoscopy can be very helpful in managing a child's health in a variety of clinical settings. 

  • Investigate noisy breathing in the child 

  • Diagnosing lung infections

  • Investigate the site of bleeding in the airway or lungs

  • Suctioning of blood or secretions from the airway

  • Identify blockages in tracheostomy tubes

  • For positioning or reviewing of airway stents

Healthcare providers will make sure your child feels as comfortable as possible by providing them with an age-appropriate explanation of the procedure. In order to get your child ready for the treatment, our staff will assess them. This will involve taking their vital signs and getting information about any drugs they may be taking. If you have any questions or worries concerning the Bronchoscopy process, the team is also there to help.

Your child may require a Bronchoscopy in addition to other diagnostic procedures like imaging. If so, our team of professionals will work together to finish all the exams as quickly as possible. 
 

The entire paediatric Bronchoscopy process takes between thirty and sixty minutes. 
 

Your child will get medication from an anaesthesiologist to help them feel comfortable, peaceful, and drowsy (sedation) during the surgery. During a Rigid Bronchoscopy, general anaesthesia will put your youngster "asleep." To prevent your child from feeling the bronchoscope, topical anaesthesia will also be given to them to numb their throat and nose. Via the child's nose or a special tube down the throat, the doctor inserts the bronchoscope.

The bronchoscope is gradually moved by the physician to the necessary viewing locations. If they need to do treatment or take biopsies, they might need to use different instruments. The bronchoscope is carefully removed by the doctor after the procedure is finished. When your child wakes up from general anaesthesia or sedation, our staff takes them to a recovery room. 
 

After the general anaesthesia, your child will awaken in a different recovery area. While some kids wake up right away, others might sleep for another two hours or more. Your child will be able to eat and drink for about three hours following the procedure, once they are awake and sitting up on their own. We'll supply fruit, squash, and biscuits, but feel free to bring the child’s favourite snack. The cannula will be taken out if your child is well and has not had any further tests scheduled. The child will be discharged, provided your child has eaten and passed urine. 
 

Following a Bronchoscopy, coughing is frequent and typically goes away on its own. It could be necessary to give your child medications.

  • Irritability: Your youngster may have mild agitation or irritability following the anaesthetic. With a little consoling, this will pass quickly. 

  • Pain: Usually, the breathing tubes inserted into the nose won't hurt after the surgery. Occasionally, sometimes they may become slightly sensitive, and bruising may develop surrounding the drip site. 

  • Fever: Following the operation, some children experience an increase in fever. Give your child's paracetamol in the prescribed dosages if they have a temperature.

You should phone the hospital and ask to talk with the respiratory specialist who is on call or the physician who performed the treatment if your child has a persistently high fever, is acting strangely agitated, or if you have any other concerns.

A Bronchoscopy is a low-risk and safe procedure. Rarely, children may experience side effects from sedatives. For this reason, we pay great attention to caring for the babies. After the surgery, there may be a brief bout of fever or an increase in wheezing, although these side effects are often temporary.
 

Using Bronchoscopy, a tissue is obtained for examination. These examinations aid in the diagnosis of various lung conditions, such as bacterial pneumonia and tuberculosis, which are examples of bacterial infections or fungus-related respiratory illnesses.
 

Nasopharyngeal, vocal cords, and airway trauma are among the mechanical problems of fiberoptic Bronchoscopy. Other complications include:

  • Bronchospasm

  • Laryngospasm

  • Pulmonary derecruitment/atelectasis

  • Pneumothorax

  • Airway haemorrhage

  • Onset or aggravation of infection.

Tissue samples are taken using common diagnostic instruments such as bronchial brushes, aspiration needles, and biopsy forceps. A flexible bronchoscope can also use therapeutic instruments such as balloons, laser fibre argon plasma coagulation catheters, electrocautery, and cryotherapy probes.

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