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- W1992909468 abstract "One hundred and twenty-four bronchograms were performed in 100 children; 110 of these bronchograms were satisfactory. Our experience leads us to believe that successful bronchography in children depends upon the anesthesia, the choice of contrast material, careful positioning of the patient to ensure complete filling of all segmental bronchi and finally upon the radiographic technique. Our exact technique is described in detail, as well as the advantages and disadvantages of three contrast media, namely, Lipiodol, Dionosil and Visciodol. The patient is admitted to the hospital for the procedure; postural drainage is instituted prior to anesthesia if physical examination reveals presence of rales. Scopalamine followed by open drop ether is the method used. Direct laryngoscopy permits insertion of an endotracheal tube, and the contrast material is inserted through a catheter of known length. Most satisfactory results have been obtained using Visciodol (sulfanilamide in iodized oil). For best results it is advised that this material be warmed and vigorously stirred up to the moment of instillation. Exact amounts of contrast material and sequence of positions are described in the text. Better than 85 per cent satisfactory bronchograms have been obtained using this method. Untoward reactions have been noted: cyanosis may occur if both lungs are done simultaneously with Visciodol; aspiration of the first side before proceeding to the second side is therefore recommended. High iodine levels and enlargement of the thyroid following the use of Lipiodol and Visciodol have been noted by others as well as by ourselves." @default.
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- W1992909468 date "1957-10-01" @default.
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- W1992909468 title "A Technique of Bronchography in Children with Evaluation of Contrast Media" @default.
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- W1992909468 doi "https://doi.org/10.1378/chest.32.4.388" @default.
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