© 2005 Archives of Disease in Childhood Fetal and Neonatal Edition
PERSPECTIVE
Imaging techniques in respiratory medicine
Two imaging techniques to find too flexible an airway: looking for malacia
Correspondence to:
Correspondence to:
Dr Cunningham
Department of Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, Scotland, UK; Steve.Cunningham@luht.scot.nhs.uk
A perspective on the article by Mok et al (see 290)
Keywords: tracheobronchomalacia; imaging; preterm
| The first 150 words of the full text of this article appear below. |
Infants who fail to wean from mechanical ventilation, or who do so only with considerably increased work of breathing and oxygen requirement, pose a major clinical challenge. Such infants are often preterm, but may also have cardiovascular, respiratory, or surgical comorbidities (tracheo-oesophageal fistula, diaphragmatic hernia, etc). They are prone to periodic, grumbling respiratory exacerbations and sometimes recurrent, frighteningly acute, severe respiratory compromise. Apportioning the relative contribution of chronic lung disease (or other comorbidity) to possible tracheobronchomalacia in the pathophysiology of these events is difficult, but this consideration is important in helping to inform effective management strategies.
In this issue, Mok et al discuss the relative merits of two methods for assessing malacia of the airway in ventilator dependent infants. Most of the infants in their report were preterm, although others have reported large cohorts of children with other comorbidities who also have associated tracheobronchomalacia.1
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- Computed tomography versus bronchography in the diagnosis and management of tracheobronchomalacia in ventilator dependent infants
- Q Mok, S Negus, C A McLaren, T Rajka, M J Elliott, D J Roebuck, and K McHugh
Arch. Dis. Child. Fetal Neonatal Ed. 2005 90: F290-f293.[Abstract] [Full Text] [PDF]
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