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Bronchoscopy is an endoscopic technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument ( bronchoscope ) is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy .
Bronchoalveolar lavage (BAL), also known as bronchoalveolar washing, is a diagnostic method of the lower respiratory system in which a bronchoscope is passed through the mouth or nose into an appropriate airway in the lungs, with a measured amount of fluid introduced and then collected for examination.
Complications can also arise from interventions used to remove a foreign body from the airway. [15] Rigid bronchoscopy is the gold standard for removal of a foreign body, however this intervention does have potential risks. [15] The most common complication from rigid bronchoscopy is damage to the patient's teeth. [15]
Analysis of COVID-19 CT imaging along with postmortem lung biopsies and autopsies suggest that the majority of patients with COVID-19 pulmonary involvement also have secondary organizing pneumonia (OP) or its histological variant, acute fibrinous and organizing pneumonia, which are both well-known complications of viral infections. [15]
In a progressive TBM case symptoms include: shortness of breath; a cough; mucus build up; stridor (a wheeze-like sound on breathing out) difficulty in breathing; bluish coloration to skin around the nose and mouth [3] Chronic cough [4] Symptoms may become worse if the patient is stressed, sick, lying down, or forcing a cough.
CAP-causing viruses may also be transferred from mother to child; herpes simplex virus, the most common, is life-threatening, and adenoviridae, mumps and enterovirus can also cause pneumonia. Another cause of neonatal CAP is Chlamydia trachomatis , which, though acquired at birth, does not cause pneumonia until two to four weeks later.
For children younger than 15 years old, nasopharyngel catheters or nasal prongs are recommended over a face mask or head box. [26] A Cochrane review in 2014 presented a summary to identify children complaining of severe LRTI, however; further research is required to determine the effectiveness of supplemental oxygen and the best delivery method.
Assess the patient to determine if other signs or symptoms of respiratory – retractions, wheezing, nasal flaring, grunting, etc. -- or cardiac – cyanosis, irritability, edema, etc. -- distress are present. If a child has any acute distress immediate medical intervention is needed. [18] Pediatric early warning score card