Yanowsky RG, Aguirre JOM, Trujillo PSA, Rodríguez FE, Espinoza MA, Sánchez HE, Pérez LJA, Monroy MY, Aguirre GD, Angulo CE, Gutiérrez PA

Language: Spanish
References: 14
Page: 16-21
PDF size: 74.52 Kb.

ABSTRACT

Introduction. The use of endoscopic instruments in the assessment of newborns with respiratory problems is considered essential for diagnostic or therapeutic purposes.Miniaturization of equipment has made it possible to extend their use to premature patients and is an excellent aid in teaching. The purpose of this paper is to report on the experience in a Pediatric Endoscopic Surgery Unit.
Material and methods. The study was conducted at thePediatric Endoscopic Surgery Unit of the Guadalajara Civil Hospital (Antiguo Hospital Civil) «Fray Antonio Alcalde»,as authorized by the Ethics and Research Committee. It wasundertaken from January 1st, 2007, to February 28, 2011. It was classified as a retrospective and descriptive study and included all of the newborns referred for any of the following procedures: flexible bronchoscopy, dilation,bronchial aspiration and tracheal dilation.
The patients were referred to our Unit by six hospital units, located in the city of Guadalajara and other regions within the state of Jalisco, in addition to some cases from neighboring states.
The medical records of newborn patients treated at thePediatric Endoscopic Surgery Unit within a 48-month period were reviewed, selecting those patients diagnosed with congenital or acquired respiratory disease. Certain variables were examined, including gestational age, gender, perinatal history, procedures performed, patient’s progress, complications and mortality. The results were analyzed using basic descriptive statistics, applying measures of central tendency.
Results. Seventy-six patients were assessed, all of themneonates (100%), of which 49 were male (64%) and 27 female (36%), all exhibiting respiratory difficulty. Uni or bilateral atelectasis was diagnosed in 39 patients (52%), tracheal stenosis in eight patients (10%), tracheoesophagealfistula in eight (10%), epiglottitis in eight (10%), tracheal granuloma in three (4%) and laryngomalacia in two (2%).
Conclusions. Airway assessment in newborn patients is a safe, versatile method of high resolution, though not exempt from major complications. In our study, the rate of major complications was 1%, similar to what has been reported in other series; minor complications can be prevented with non-invasive monitoring, as by means of timely prevention measures, such complications can be rapidly treated and resolved.

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