Vallecular cyst with coexisting laryngomalacia: Successful diagnosis and laser therapy by flexible endoscopy with a novel noninvasive ventilation support in infants

2020 ◽  
Vol 55 (7) ◽  
pp. 1750-1756
Author(s):  
Wen‐Jue Soong ◽  
Chia‐Feng Yang ◽  
Yu‐Sheng Lee ◽  
Pei‐Jeng Tsao ◽  
Chien‐Heng Lin ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Noninvasive Ventilation ◽  
Flexible Endoscopy ◽  
Ventilation Support

scholarly journals Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support

2018 ◽  
Vol 59 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Kao-Hsian Hsieh ◽  
Wen-Jue Soong ◽  
Mei-Jy Jeng ◽  
Yu-Sheng Lee ◽  
Pei-Chen Tsao ◽  
...  
Keyword(s):  
Noninvasive Ventilation ◽  
Esophageal Stenosis ◽  
Endoscopic Diagnosis ◽  
Diagnosis And Treatment ◽  
Ventilation Support

scholarly journals Analysis of Management of Noninvasive Ventilation Support in Prehospital Care for COPD Patients and Short-term Outcome

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 888A
Author(s):  
Jerome Cuny ◽  
Guilaume Campagne ◽  
Patrick Goldstein ◽  
Nathalie Assez ◽  
Eric Wiel
Keyword(s):  
Noninvasive Ventilation ◽  
Prehospital Care ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Copd Patients ◽  
Ventilation Support

scholarly journals Flexible endoscopy with noninvasive ventilation assesses and manages infants with severe bronchopulmonary dysplasia

2021 ◽  
Author(s):  
Wen-Jue Soong ◽  
Pei-Chen Tsao ◽  
Chia-Feng Yang ◽  
Yu-Sheng Lee ◽  
Chieh-Ho Chen ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bronchopulmonary Dysplasia ◽  
Noninvasive Ventilation ◽  
Balloon Dilatation ◽  
Visual Assessment ◽  
Flexible Endoscopy ◽  
Therapeutic Interventions ◽  
Respiratory Care ◽  
Artificial Airway ◽  
Medication Changes

Objectives Flexible endoscopy (FE) assessed the whole approachable aeroesophageal (AE) tracks and changes of management in infants with severe bronchopulmonary dysplasia (sBPD). Methods A 10 years (2011-2020) retrospective study of sBPD infants who had FE with and without artificial airway in AE tracks. FE with noninvasive ventilation (FE-NIV) of pharyngeal oxygen with nose-close and abdomen-compression was supported. Data of found pathologies, changes of consequent management and therapeutic interventions were collected and analyzed. Results Total 42 infants enrolled. Two scopes of 1.8mm and 2.6mm were used. FE revealed 129 AE pathologies in 38 (90.5%) infants. Twenty-eight (66.7%) infants detected more than one lesion. In 35 (83.3%) infants with 111 airway lesions, bronchial granulations (28, 25.2%), tracheomalacia (18, 16.2%) and bronchial granulations (15, 13.5%) were the leadings. Fifteen (35.7%) infants had 18 esophageal lesions. No significant FE-NIV complication noted. FE findings resulted consequent changes of management in all 38 infants. Thirty-six (85.7%) infants involved respiratory care of pressure titrations (29, 45.3%), shorten suctioning depth (17, 26.6%), changed endotracheal or tracheostomy tube depth (10, 15.6%) and extubation (8, 12.5%). Twenty-one (50%) infants had 50 medication changes included add steroids, anti-reflux medicine, antibiotics and stop antibiotics. Eighteen (42.8%) infants had received 37 therapeutic FE-NIV procedures which included 14 balloon dilatation, 13 laser-plasty and 10 stent implantations. Seven (16.7%) infants had surgeries included 4 tracheostomies and 3 fundoplications. Conclusion FE-NIV can be a safe and valuable modality for direct visual assessment of AE pathologies which contributed subsequent changes of clinical management in sBPD infants.

scholarly journals Novel Technique: Noninvasive Ventilation Support Flexible Endoscopy for Preoperative Manage Neonates of Esophageal Atresia with Tracheoesophageal Fistula and Respiratory Distress

2021 ◽  
Author(s):  
Wen-Jue Soong ◽  
YI-TING YEH ◽  
PEI-CHEN TSAO ◽  
Chieh-Ho Chen ◽  
Yi-Hung Sung ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Esophageal Atresia ◽  
Noninvasive Ventilation ◽  
Tracheoesophageal Fistula ◽  
Operative Management ◽  
Flexible Endoscopy ◽  
Great Artery ◽  
Tube Placement ◽  
Positive Pressure ◽  
Gastric Decompression

Introduction Pre-operative management of neonates with esophageal atresia and tracheoesophageal fistula (EA/TEF) requiring positive pressure ventilation (PPV) support is clinically challenging. This study evaluates the safety, feasibility and value of flexible endoscopy with noninvasive ventilation and sustained pharyngeal inflation (FE-NIV-SPI) in diagnosis and placing a naso-tracheo-fistula-gastric (NTFG) tube before surgery. Methods A retrospective study conducted from 2017 to 2020 in neonates with Type-C EA/TEF and respiratory distress, where FE-NIV-SPI performed with NTFG tube placement before surgery. Results Five neonates were collected, one with duodenal atresia and one with transposition of great artery. At FE-NIV-SPI, median body weight was 2,399 g and mean age was 15.2 hours. Four neonates yielded severe (>80% collapsed) tracheomalacia. With this FE-NIV, all tracheal, fistulas and esophageal lumens could clearly assess and manage. All fistulas were less than 8mm proximal to carina with mean orifice width of 5 mm. All NTFG tubes placed successfully after confirmed the EA/TEF. Three neonates had co-intubated with nasal endotracheal tube and 2 neonates had received nasal prongs PPV. Mean procedural time of FE-NIV was 13.6±4.5 minutes. All neonates received gastric decompression and feeding via NTFG tubes for mean of 11.4±18.2 days and had stable pre-surgical courses. No adverse associated complication noted. Conclusion FE-NIV-SPI technique enables safe and accurate measurement of EA/TEF anatomy and placing NTFG tube. It could avert emergent gastrostomy, aid gastric decompression, feeding, and ETT intubation, improve PPV, provide pre-surgical stabilization and identify the fistula location during the surgical correction.

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