Mini grasping basket forceps for endobronchial foreign body removal in pediatric patients

Abstract

The use of a mini grasping basket forceps in combination with an ultrathin flexible bronchoscope was useful for removing smooth, soft materials such as a nuts or beans in pediatric cases.

Tracheobronchial foreign body aspiration in children aged ≤ 2 years: the use of flexible bronchoscopy and urology stone retrieval basket in emergency setting

“…Type of anesthesia is an issue of controversy with different Centers choosing spontaneous ventilation through laryngeal mask [11,13]. We agree with Authors that report that general anesthesia with muscle paralysis seems to provide a better control of the ventilation and to decrease life-threatening complications in children aged less than four years [25][26][27].…”

“…Different technique, mostly limited to case reports, are present in the literature, describing usefulness of urology basket [1,5,13,19] endobronchial Roth-Net [20] and Fogarty catheter [14]. The use of forceps of various shapes, baskets, snaring wire, coagulation knives, and probes for cryotherapy is also reported [21].…”

“…Despite the advantages of the flexible bronchoscopy, it is often difficult to remove FBs in toddlers with this technique, due to the limited selections of grasping tools capable of passing through the 1.2 mm instrument channel of the ultrathin bronchoscope [1, 13,14]. We describe removal of tracheobronchial FB by means of flexible bronchoscope and the urology stone retrieval basket in children aged two years or less.…”

Catheter‐Guided Basket Removal of a Difficult‐to‐Reach Pediatric Airway Foreign Body

“…Basket devices have previously been used in the pediatric population, particularly for smooth soft objects and those at risk of fragmentation. 5 Given that many pediatric FBA cases involve dense food items such as candies, nuts, and seeds, it is not surprising that basket devices are so useful. 1 The linear nature of a rigid bronchoscope, however, limits the surgeon's ability to manipulate objects around corners in the distal airway that are outside of the line of sight.…”

“…A 2.8-mm flexible bronchoscope would have been the age-appropriate option for this child, and certain basket devices can be passed down the 1-mm side port of a 2.8-mm flexible bronchoscope. 5 This provides an excellent option for patients but depends on the availability of small pediatric bronchoscopes, the resource environment, and the surgeon's comfort level. The technique described in this article provides an additional option for surgical teams.…”