Bronchoscopy in paediatric intensive care

Extensive mucus plugging of a tracheostomy tube which was said to suction easily (Photograph courtesy Dr Ian Balfour-Lynn).

Sloughing endobronchial ulcers in a child with leukaemia complicated by invasive aspergillosis.

Low contrast volume bronchogram, digital subtraction technique, in a child with a pulmonary artery sling. Note the narrowed segment of trachea (arrowed) due to complete cartilage rings.

Endobronchial polyp (arrowed) in right bronchus intermedius. This caused localised hyperinflation on the chest radiograph and computed tomogram.

Severe subglottic stenosis after prolonged intubation in a neonate.

Completely black, infarcted trachea in a child who had undergone unifocalisation.