Collaboratively authored by international experts and innovators, this book serves as a comprehensive introduction to flexible bronchoscopy in children, a guide to normal and abnormal bronchoscopy findings, and as the first pediatric bronchoscopy text to describe the array of innovative technologies now being utilized in advanced diagnostic and interventional bronchoscopy programs. Flexible bronchoscopy is a core clinical service provided by academic pediatric pulmonary medicine programs and a critical skill that trainees are expected to develop. The role of flexible bronchoscopy in the care of children with disorders of the respiratory tract has evolved rapidly over the past decade due to technological advances in diagnostic and therapeutic instruments. While many of these tools were designed for adult patients, pediatric pulmonologists have adapted them to meet the unique needs of children. The book is organized into three sections: the history and fundamentals of flexible bronchoscopy; the role of flexible bronchoscopy in evaluation of pediatric respiratory tract disorders; and advanced diagnostic and interventional bronchoscopy. Throughout, images and videos enhance the text and provide invaluable perspective. This is an ideal guide for practicing pediatric pulmonologists and trainees, and will also prove useful to pediatric anesthesiologists, intensivists, otolaryngologists and respiratory therapists.

This book provides an in-depth 'state-of-the-art' critical review of the technique and the applications of flexible and rigid bronchoscopy to infants and children. Written by an international panel of experts, it reviews the technical aspects of the procedure, its common and highly specialized applications as well as its potential alternatives. The chapters are enhanced by a wealth of original figures. A major innovation of the book is the inclusion of online videos from actual bronchoscopies that further illustrate and elaborate on the information provided in the text. The book is addressed to paediatric pulmonologists and otorhinolaryngologists, both experienced and in training, as well as to other personnel who are involved in the performance of the procedures. In addition, it is recommended to pulmonologists for adults and general paediatricians who need to be able to evaluate the usefulness of bronchoscopy for their patients and be aware of its limitations and potential contra-indications.

This book covers all aspects of diagnostic and therapeutic bronchoscopy, which go beyond the techniques of inspection, simple lavage and biopsies of the tracheobronchial tree. In a first section, historical aspects as well as the modern use of both rigid and flexible instruments, the set-up of a bronchoscopy unit, anaesthetic techniques, and functional evaluation for patients undergoing interventional bronchoscopy are discussed. A diagnostic section on transbronchial needle aspiration and bronchoscopic ultrasound is followed by extensive coverage of all existing therapeutic techniques: foreign body removal, laser resection, electrocautery, argon plasma coagulation, cryotherapy, brachytherapy, photodynamic therapy, stenting, and a chapter on multi-modality treatment of advanced pulmonary malignancies. A fourth section deals with percutaneous image-guided procedures, percutaneous dilatational tracheostomy, and transtracheal oxygen therapy. The last section provides an in-depth look at emerging bronchoscopic technology, such as autofluorescence, virtual bronchoscopy, and gene therapy. Written by the world's leading authorities in the field and beautifully illustrated, this book presents the state of the art of interventional bronchoscopy. It is recommended reading for pulmonologists, thoracic or ENT surgeons, oncologists and physicians who take an interest in bronchoscopy.

Over the past 20 years, diagnostic tests for pediatric pulmonologists have revolutionized care of children afflicted with respiratory disorders. These tests have been used to not only help in diagnosis, but also in the management and treatment of these children. Bronchoscopic, imaging and physiologic advances have improved clinical care of these children and have been used as outcome measures in research trials. Diagnostic Tests in Pediatric Pulmonology: Applications and Interpretation describes the various diagnostic modalities (especially the newer ones) that are available for the evaluation of pediatric respiratory disorders. It also provides an understanding of the advantages and limitations of each test so that the clinician may choose the most appropriate ones. An internationally renowned group of authors describe how best to interpret the key findings in a variety of tests as well as the possible pitfalls in incorrect interpretation. This volume focuses on the main diagnostic modalities used in the evaluation of pediatric patients with respiratory disorders and presents up-to-date information on the advantages and limitations of each test for a variety of conditions encountered in the practice of pediatric pulmonology. Clinical utility of these tests is also highlighted. This valuable resource is well suited to practicing clinicians, including pediatric pulmonologists, pediatricians and primary care practitioners, as well as trainees, respiratory therapists and clinical researchers.

Over the past 20 years, diagnostic tests for pediatric pulmonologists have revolutionized care of children afflicted with respiratory disorders. These tests have been used to not only help in diagnosis, but also in the management and treatment of these children. Bronchoscopic, imaging and physiologic advances have improved clinical care of these children and have been used as outcome measures in research trials. Diagnostic Tests in Pediatric Pulmonology: Applications and Interpretation describes the various diagnostic modalities (especially the newer ones) that are available for the evaluation of pediatric respiratory disorders. It also provides an understanding of the advantages and limitations of each test so that the clinician may choose the most appropriate ones. An internationally renowned group of authors describe how best to interpret the key findings in a variety of tests as well as the possible pitfalls in incorrect interpretation. This volume focuses on the main diagnostic modalities used in the evaluation of pediatric patients with respiratory disorders and presents up-to-date information on the advantages and limitations of each test for a variety of conditions encountered in the practice of pediatric pulmonology. Clinical utility of these tests is also highlighted. This valuable resource is well suited to practicing clinicians, including pediatric pulmonologists, pediatricians and primary care practitioners, as well as trainees, respiratory therapists and clinical researchers.

A comprehensive and unique review of the bronchoscopy, equipment and quality improvement fundamentals.