Foreign body removal in children: Recommendations versus real life—A survey of current clinical management in Germany

Schramm, Dirk; Ling, Kerstin; Schuster, Antje; Nicolaï, Thomas

doi:10.1002/ppul.23609

Cited by 30 publications

(35 citation statements)

References 19 publications

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“…In children with a history of choking, a preceding flexible bronchoscopy reduces the rate of negative rigid bronchoscopies [72,73]. In recent years, flexible bronchoscopy has increasingly been used for foreign body extraction [74]. There is growing evidence that flexible bronchoscopes can be used as a removal tool (either alone or in combination with a rigid bronchoscope), using biopsy or grasping forceps, or wire baskets, with varying success rates [75][76][77][78].…”

Section: Boxmentioning

confidence: 99%

“…Attempts to extract foreign bodies using a cryoprobe have been reported [79]; however, in children this technique has been associated with a high rate of complications [80]. If a flexible bronchoscope is used for foreign body extraction, immediate availability of a rigid instrument has been repeatedly recommended to guarantee safety of the procedure in case extraction attempts fail or complications occur [74,75].…”

Section: Boxmentioning

confidence: 99%

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ERS statement: interventional bronchoscopy in children

et al. 2017

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Paediatric airway endoscopy is accepted as a diagnostic and therapeutic procedure, with an expanding number of indications and applications in children. The aim of this European Respiratory Society task force was to produce a statement on interventional bronchoscopy in children, describing the evidence available at present and current clinical practice, and identifying areas deserving further investigation. The multidisciplinary task force panel performed a systematic review of the literature, focusing on whole lung lavage, transbronchial and endobronchial biopsy, transbronchial needle aspiration with endobronchial ultrasound, foreign body extraction, balloon dilation and occlusion, laser-assisted procedures, usage of airway stents, microdebriders, cryotherapy, endoscopic intubation, application of drugs and other liquids, and caregiver perspectives. There is a scarcity of published evidence in this field, and in many cases the task force had to resort to the collective clinical experience of the committee to develop this statement. The highlighted gaps in knowledge underline the need for further research and serve as a call to paediatric bronchoscopists to work together in multicentre collaborations, for the benefit of children with airway disorders.

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Section: Boxmentioning

confidence: 99%

Section: Boxmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

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“…Rigid bronchoscopy does provide a secure airway and optimal ventilation during foreign body removal 6–8 . Recently flexible bronchoscopy has increasingly been used for foreign body extraction, especially in cases where the foreign body is located in the distal airways 9 . Foreign bodies are removed with flexible bronchoscopes with the aid of biopsy or grasping forceps, and wire baskets, with varying success rates 10–13 .…”

Section: Discussionmentioning

confidence: 99%

“…Foreign bodies are removed with flexible bronchoscopes with the aid of biopsy or grasping forceps, and wire baskets, with varying success rates 10–13 . Availability of a rigid instrument is recommended when extraction of foreign bodies with flexible bronchoscopy is attempted 9,10 . The person responsible for the removal of the foreign body and chosen method of removal differs in different parts of the world.…”

Section: Discussionmentioning

confidence: 99%

Removal of distal airway foreign body with the help of fluoroscopy in a child

Goussard

Mfingwana

Morrison

2020

Pediatric Pulmonology

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Most foreign bodies are located in the central airways and can be reached and removed with either a flexible or rigid bronchoscope or a combination of the two methods. The removal of more distal foreign bodies can present a significant challenge. We describe a case of an 11‐year‐old child, who aspirated a sewing needle that lodged in a distal subsegment of the medial segment of the right lower lobe. As a result, it was visible only with the 2.8 mm flexible bronchoscope (FOB). Mono‐planar fluoroscopic guidance was useful for confirming the placement of the 2.8 mm bronchoscope and allowing for a biopsy forceps to grasp the needle and move it to a larger airway, where it could then be removed safely using a larger FOB. Removal of radiopaque foreign bodies in the distal airways is possible with the aid of fluoroscopy and a small bronchoscope. This report also highlights the risk of aspirating sharp objects when they are placed into the mouth, especially by children, and the dangers posed by sharp object foreign body aspiration.

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“…The authors concluded that whatever method is used, an immediate switch to rigid bronchoscopy must be possible at least for potentially asphyxiating foreign bodies. An editorial by Kazachkov and Vicencio concluded that many questions regarding the equivalence of flexible bronchoscopy to the rigid technique have never been evaluated in a prospective manner, and many questions regarding the use of cryoprobes remain unanswered. They recommended establishment of formal courses for interventional bronchoscopy in children, following the example of adult pulmonology.…”

Section: Diagnostic Testing/endoscopymentioning

confidence: 99%

Pediatric Pulmonologyyear in review 2016: Part 1

et al. 2017

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Our journal covers a broad range of research and scholarly topics related to children's respiratory disorders. For updated perspectives on the rapidly expanding knowledge in our field, we will summarize the past year's publications in our major topic areas, as well as selected publications in these areas from the core clinical journal literature outside our own pages. The current review covers articles on neonatal lung disease, pulmonary physiology, and respiratory infection.Word count: 71 3

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Foreign body removal in children: Recommendations versus real life—A survey of current clinical management in Germany

Cited by 30 publications

References 19 publications

ERS statement: interventional bronchoscopy in children

ERS statement: interventional bronchoscopy in children

Removal of distal airway foreign body with the help of fluoroscopy in a child

Pediatric Pulmonologyyear in review 2016: Part 1

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