Transbronchial biopsies in children after heart-lung transplantation.
Pediatrics
; 86(5): 698-702, 1990 Nov.
Article
en En
| MEDLINE
| ID: mdl-2235222
ABSTRACT
Sixty transbronchial biopsies have been performed in eight children after heart-lung transplantation. The selection of fiber-optic bronchoscope or a small (4 mm; 30 cm) rigid bronchoscope was made according to the size of endotracheal tube required at surgery. If the endotracheal tube was size 7.5 or greater, a fiber-optic bronchoscope was used, whereas if the endotracheal tube size was below 7, a rigid bronchoscope was used. For the diagnosis of lung rejection, the histology of biopsies revealed a sensitivity of 91% and specificity of 69% (similar to the result in adults). The histology also distinguished lung infection from rejection. Complications included three pneumothoraces and two clinically significant episodes of hemorrhage, one of which led to a cardiorespiratory arrest, which may have been caused by hypoxia. As a result, arterial oxygen saturation is now monitored during the procedure using a pulse oximeter.
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Banco de datos:
MEDLINE
Asunto principal:
Neumonía
/
Infecciones Oportunistas
/
Bronquios
/
Broncoscopía
/
Trasplante de Corazón-Pulmón
/
Rechazo de Injerto
/
Enfermedades Pulmonares
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Pediatrics
Año:
1990
Tipo del documento:
Article
País de afiliación:
Reino Unido