Level A Recommendations
Recommendation 1: Flexible bronchoscopy is the gold standard
for the evaluation of TBM
Recommendation 2: Flexible bronchoscopy is recommended for
unexplained wheezing or
exercise intolerance
Recommendation 3: Flexible bronchoscopy is indicated for all
patients with a tracheostomy
Recommendation 4: Rigid bronchoscopy is not a sensitive method
for the evaluation of the
severity of TBM
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Level B Recommendations
Recommendation 5: Multi-detector CT scan is an accurate method
of assessing TBM Recommendation 6: Spirometry is a reliable way
of assessing the severity of TBM in older
children
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Level C Recommendations
Recommendation 7: Tidal flow-volume loops are a reliable way of
assessing the severity of
TBM in infants and toddlers
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