PT  - JOURNAL ARTICLE
AU  - Ritika Chhawchharia
AU  - Anil Sachdev
AU  - Dhiren Gupta
AU  - Neeraj Gupta
AU  - Raja Joshi
TI  - Bedside fiberoptic flexible bronchoscopy directed respiratory interventions in children with congenital heart diseases
AID  - 10.1183/13993003.congress-2019.PA394
DP  - 2019 Sep 28
TA  - European Respiratory Journal
PG  - PA394
VI  - 54
IP  - suppl 63
4099  - http://erj.ersjournals.com/content/54/suppl_63/PA394.short
4100  - http://erj.ersjournals.com/content/54/suppl_63/PA394.full
SO  - Eur Respir J2019 Sep 28; 54
AB  - Introduction: Children with congenital heart diseases(CHD) often have coexisting airway anomalies leading to airway obstruction. Fiberoptic flexible bronchoscopy(FFB) performed at the bedside helps in dynamic assessment of the airway to diagnose airway anomalies that may be vital for preoperative & postoperative management.Aim: To study the role of bedside FFB findings in perioperative management of children with CHD.Methods: Medical charts of all patients who underwent FFB during cardiac ICU stay were reviewed retrospectively. Data including demography, cardiac lesion, indications, findings and complications of FFB, chest radiographs, medical & surgical interventions done on the basis of FFB findings were recorded & analysed.Results: Total 71 FFB were done in 58 patients with median age of 2.5 months(range 1day-12 years) and median weight of 3.4 kg(range 2-24kg). While 38 and 30 procedures were performed in preoperative and post-operative patients respectively, 3 procedures were performed intra-operatively. The main indications were persistent atelectasis(59.1%), prolonged oxygen requirement(18.3%), stridor(11.2%), suspected airway anomaly(8.4%). Tracheobronchitis was the most common FFB finding(71.8%) followed by tracheobronchomalacia(38.3%). Cause of stridor was diagnosed in 87.5% cases. FFB-guided interventions included slide tracheoplasty(8.6%), tracheostomy(8.6%), antibiotic change(15.5%) and prolonged positive pressure ventilation(5.6%). Complications noted were transient hypoxemia(14.1%), minor bleeding(2.8%) and transient bradycardia(1.4%).Conclusion: Bedside FFB is a valuable diagnostic tool in guiding medical & surgical intervention in children with CHD.FootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA394.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).