Bronchotomy for removal of foreign body bronchus in an infant

Kıran, Sibel; Ahluwalia, CS; Chopra, V; Eapen, Sarah

doi:10.4103/0019-5049.147156

Cited by 10 publications

(7 citation statements)

References 2 publications

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“…While RB needs to be done under general anesthesia in the OR and is risky in some cases, FFB can be done under local anesthesia and intravenous sedation in the bronchoscopy suite, 17 although rare cases may still need more invasive surgical interventions, such as thoracotomy and bronchotomy. [18][19][20] Using bronchoscopy, FB visualization and extraction can be achieved simultaneously; however, FBs can be missed even with RB as the gold standard approach. These cases demonstrate that FFB can be used to remove FBs in the airways when RB fails.…”

Section: Discussionmentioning

confidence: 99%

“…This type of bronchoscope can be used effectively in patients where FBs are impacted too distally, in patients with cervical trauma or instability, in patients with congenital oral or airway malformations, and in mechanically ventilated cases. While RB needs to be done under general anesthesia in the OR and is risky in some cases, FFB can be done under local anesthesia and intravenous sedation in the bronchoscopy suite,17 although rare cases may still need more invasive surgical interventions, such as thoracotomy and bronchotomy 18–20. Using bronchoscopy, FB visualization and extraction can be achieved simultaneously; however, FBs can be missed even with RB as the gold standard approach.…”

Section: Discussionmentioning

confidence: 99%

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Failures in emergency management of pediatric airway foreign bodies by rigid bronchoscopy: we have yet to complete our learning

Moslehi

2022

World Jnl Ped Surgery

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BackgroundSeveral children are affected by airway foreign body aspiration (FBA) resulting from life-threatening conditions. Choking has been considered the major symptom and is defined as airway blockage by a foreign body (FB), leading to marked morbidity or mortality. This retrospective study indicates the possibility of misdiagnosis or rigid bronchoscope (RB) failure, which is the standard gold method for extracting FB in the airway.MethodsSix children with airway FBA who failed treatment using RB between 2018 and 2019 were retrospectively studied. The inclusion criterion was a history of failure to extract FB using RB followed by flexible fiberoptic bronchoscopy (FFB).ResultsIn the present study, among 63 patients who had undergone rigid bronchoscopy, airway FBs were successfully removed in 57 (90.48%). Rigid bronchoscopy failed in 6 (9.52%) patients. The age of cases at the time of bronchoscopy ranged from 11 months to 13 years. FFB was performed to extract missing or remaining FBs and was done successfully in all patients. The patients made an uneventful recovery following FB extraction using the FFB method.ConclusionsIt is not easy to diagnose and treat airway FB in children. Rigid bronchoscopy has been approved as a method to manage airway FB, but a negative bronchoscopy result must usually be interpreted carefully. FFB is applicable as a proper and relatively safe diagnostic and therapeutic tool in managing airway FBs among the pediatric population, especially in cases where rigid bronchoscopy was performed but missed or failed to extract the FB.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Failures in emergency management of pediatric airway foreign bodies by rigid bronchoscopy: we have yet to complete our learning

Moslehi

2022

World Jnl Ped Surgery

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“…In our case, considering the age and co-morbidities of the patient, and the shape of the partial denture, flexible bronchoscopy was preferred. However, thoracotomy and bronchotomy may be required in 2% of FBA cases [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic fixed partial denture aspiration: A case report

Gharaibeh

Hamouri

Sharie

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction and importance Foreign body aspiration (FBA) is more frequently presented in children and considered a rare presentation in adults. One of the most common causes of FBA in adults are orthodontic appliances. Case presentation We present a case of a 70-year-old male with an accidently discovered fixed partial denture (bridge) in the right mainstem bronchus. The partial denture was removed successfully by flexible bronchoscopy. Clinical discussion FBA is an event that most frequently occurs with children, and rarely with adults having various risk factors and complications on patients. Conclusion This study aims to spotlight the danger of asymptomatic FBA and how retrieving sharp objects can be managed by flexible bronchoscopy thus leading to better management and increased awareness of such cases.

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“…Use of computed tomography (CT) with virtual bronchoscopy [6] proved useful in preparation of this patient for surgery. There are documented cases of foreign body requiring bronchotomy [7,8] . Various techniques of anaesthesia induction, maintenance and ventilation are described for this surgery.…”

Section: Discussionmentioning

confidence: 99%

Case report: Anaesthesia for thoracotomy in a child with foreign body in left main bronchus

Chodankar¹,

Kharwadkar²

2020

Int. J. Med. Anesthesiology

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We describe a case report of a 5-year old girl who presented with foreign body impacted in left bronchus. A sharp foreign body had pierced the wall of left main bronchus making removal by bronchoscopy difficult, and a previous attempt at bronchoscopy had led to clinical deterioration of patient, requiring resuscitation and mechanical ventilation. Patient was subsequently extubated when condition improved. Anaesthesia for thoracotomy was induced with Fentanyl, Propofol, Atracurium and maintained with Sevoflurane with Oxygen/Air. One lung ventilation was achieved with right endobronchial intubation. Epidural analgesia was used postoperatively. Recovery was uneventful. Thoracotomy with One Lung Ventilation in a paediatric patient require suitable anaesthesia techniques along with good postoperative pain relief leading to early recovery.

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Bronchotomy for removal of foreign body bronchus in an infant

Cited by 10 publications

References 2 publications

Failures in emergency management of pediatric airway foreign bodies by rigid bronchoscopy: we have yet to complete our learning

Failures in emergency management of pediatric airway foreign bodies by rigid bronchoscopy: we have yet to complete our learning

Asymptomatic fixed partial denture aspiration: A case report

Case report: Anaesthesia for thoracotomy in a child with foreign body in left main bronchus

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