Objective To explore the application value of multidisciplinary team (MDT) collaboration in fiberoptic bronchoscopic lung lavage for pediatric severe pulmonary infection. Methods Using a random number table, 102 children with severe pulmonary infection admitted to the hospital from July 2023 to July 2024 were assigned to the observation group and the control group, with 51 cases in each group. The control group underwent conventional fiberoptic bronchoscopic lung lavage, while the observation group received MDT collaborative intervention on this basis. The success rate of one-time fiber bronchoscope placement, peripheral oxygen saturation (SpO2), pulmonary function, incidence of adverse events, and family members' satisfaction with nursing were compared between the two groups. Results Compared with the control group, the observation group showed a higher success rate of one-time fiber bronchoscope placement. Compared with the control group, the observation group exhibited higher SpO2 on postoperative day 3, and higher forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and total lung capacity (TLC) on postoperative day 7. FEV1/FVC was comparable between the two groups. The incidence rates of adverse events in the two groups were close. The scores for visitation and companion system, ward environment and nursing services, and total nursing satisfaction score of the observation group were higher than those of the control group. Conclusion Applying MDT collaborative intervention in fiberoptic bronchoscopic lung lavage for pediatric severe pulmonary infection can effectively increase the success rate of one-time fiber bronchoscope placement, improve postoperative pulmonary function and oxygenation index, and enhance family members' satisfaction with nursing. However, due to the small sample size in this study, no significant difference in the incidence of adverse events is observed between the two groups. Therefore, the impact of this intervention on adverse events requires further study.
Key words
pediatric /
pulmonary infection /
severe /
fiberoptic bronchoscopic lung lavage /
multidisciplinary team
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