Author/Editor		Kalan, G; Škofljanec, A; Primožič, J; Derganc, M
Title		Bronhoskopija v pediatrični enoti za intenzivno terapijo
Translated title		Bronchoscopy in paediatric intensive care
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 7, št. Suppl 1
Publication year		2000
Volume		str. 220-2
Language		slo
Abstract		Fiberoplastic bronchoscopy is an established bedside diagnostic and therapeutic method, which is part of intensive care of critically ill children. In Paediatric intensive care unit of Clinical department for paediatric surgery and intensive care, University medical centre Ljubljana in the years 1994-1999 105 fiberoptic bronchoscopies were performed in 63 critically ill children, 15 of them being newborns. Among the indications the majority (72%) was atelectasis of lungs. In 88% of the atelectatic lungs the lungs were reexpanded after the 1st bronchoscopy. We were not able to perform bronchoscopy only in 2 newborns and in 5 cases the procedure had to be interrupted because of hypoxia and bradycardia. Fiberoptic bronchoscopy in Paediatric intensive care unit is a part of respiratory treatment and plays an important role in recognition and treatment of causes of respiratory distress in critically ill children.
Summary		Fiberoptična bronhoskopija je že uveljavljena diagnostična in terapevtska metoda, ki ima svoje mesto tudi v intenzivnem zdravljenju kritično bolnih otrok. V Enoti za intenzivno terapijo Kliničnega oddelka za otroško kirurgijo in intenzivno terapijo smo v letih 1994-1999 napravili 105 bronhoskopij s fiberoptičnim bronhoskopom pri 63 otrocih, med njimi je bilo tudi 15 novorojenčkov. Med indikacijami za bronhoskopijo so prevladovale atelektaze pljuč (72%). Kar v 88% le-teh so se pljuča razpela že po prvi bronhoskopiji. Bronhoskopije nismo uspeli izvesti le pri 2 novorojenčkih, 5-krat pa smo zaradi hipoksije in bradikardije preiskavo morali predčasno prekiniti. Fiberoptična bronhoskopija pri kritično bolnih otrocih v Enoti za intenzivno terapijo je torej del intenzivnega respiratornega zdravljenja in pomembno prispeva k uspešni razpoznavi in odpravljanju vzrokov za dihalno stisko.
Descriptors		INTENSIVE CARE UNITS, PEDIATRIC BRONCHOSCOPY CRITICAL ILLNESS ATELECTASIS CHILD INFANT, NEWBORN