Use of flexible bronchoscopy in an adult for removal of an aspirated foreign body at a community hospital

Oke, Vikram; Vadde, Rakesh; Munigikar, Prajakta; Bhattarai, Bikash; Agu, Chidozie; Basunia, Rashawn; Salhan, Divya; Enriquez, Danilo; Quist, Joseph; Schmidt, Frances

doi:10.3402/jchimp.v5.28589

Cited by 12 publications

(14 citation statements)

References 17 publications

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“…Related to possible failure of bronchoscopic removal, we agree that such a procedure should be done in the operating room whenever possible and with a patient completely prepared for surgery, as previously suggested [9].…”

Section: Discussionmentioning

confidence: 62%

Repeated Synchronous Aspiration and Ingestion of a Sharp Metallic Foreign Body in a Mentally Disabled Adolescent

Subotic

Atanasijadis²,

Moskovljevic³

et al. 2019

Case Reports in Surgery

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In a mentally disabled adolescent, bronchoscopic extraction failure of a metallic foreign body from the left main bronchus was followed by mediastinal emphysema. At thoracotomy, a part of the metallic hook was found to protrude through the main bronchus, just by the descending aorta. The foreign body was removed and the bronchus sutured. After the thoracotomy closure, laparotomy was performed with removal of metallic pieces from the stomach. After three years, a repeated metallic foreign body aspiration as confirmed by the chest radiography ensued, with metallic pieces in the bowels as well. With the surgical team on site, rigid bronchoscopy was done and the foreign body extracted from the intermediate bronchus. Metallic pieces left the digestive tract spontaneously after a few days. In conclusion, the appropriate preoperative workup and timing for surgery are essential for the treatment outcome of this life-threatening condition; because of the high likelihood of the major airway injury, such procedures should be done with a surgical team available whenever possible.

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Section: Discussionmentioning

confidence: 62%

Repeated Synchronous Aspiration and Ingestion of a Sharp Metallic Foreign Body in a Mentally Disabled Adolescent

Subotic

Atanasijadis²,

Moskovljevic³

et al. 2019

Case Reports in Surgery

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“…While the most common symptoms in children with foreign body aspiration were choking, breathlessness, cough and wheeze [ 8 ], adults were often asymptomatic or had mild or non-specific symptoms such as chronic cough, dyspnea on exertion, and hemoptysis [ 8 ]. In adults with foreign body aspiration, the lack of a precise history and paucity of symptoms often resulted in misdiagnosis or delayed diagnosis [ 9 – 11 ]. Consistently, most of the cases in the current study had mild symptoms including cough, hemoptysis, wheezing, vomiting, fever and dyspnea.…”

Section: Discussionmentioning

confidence: 99%

Application of flexible fiberoptic bronchoscopy in the removal of adult airway foreign bodies

Yang

et al. 2020

BMC Surg

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Background Flexible fiberoptic bronchoscopy is a rapid, cost effective and safe procedure. Aim To analyze demographic information and endoscopic findings in adult patients with airway foreign body aspiration and its removal. Methods Fifty-seven adults (40 males, 17 females; average age 40 years old) with airway foreign body aspiration were analyzed. Cough (37, 65%) was the most common clinical presentation. The most common foreign body was bone followed by dental prosthesis and food debris. Results In the current study, 42 out of the 57 (74%) airway foreign bodies were successfully removed under flexible fiberoptic bronchoscopy. However, it was failed in 15 patients and thus, rigid bronchoscopy was used to remove foreign bodies successfully in 13 of the 15 patients. Thoracotomy was performed for the 2 patients whose foreign body removal was unsuccessful even with rigid bronchoscopy. Conclusion The findings of the current study revealed that flexible fiberoptic bronchoscopy is a safe and effective procedure for the removal of adult airway foreign bodies in the majority of cases. Rigid bronchoscopy can be a backup procedure in case flexible bronchoscopy is failed.

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“…7 Delayed FB removal may result in lung abscess, persistent pneumonia, bronchiectasis, and excessive granulation tissue formation, sometimes simulating lung cancer. [1][2][3]8 In adults with suspected FB aspiration, bronchoscopy is the diagnostic and therapeutic gold standard. 1 Rigid bronchoscopy under general anesthesia provides safe airway control, especially in patients with large or impacted FB, with respiratory failure, or clinically unstable due to aspiration.…”

Section: Discussionmentioning

confidence: 99%

Management of a case of unacknowledged foreign body in the upper airway

D’Agostino

Monaco

Mondello

et al. 2018

Asian Cardiovasc Thorac Ann

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Tracheobronchial foreign body aspiration occurs rarely in adults and may go unrecognized for a long time, but early detection and immediate retrieval of the foreign body are essential to prevent major morbidity. We describe the case of an adult who unusually aspirated part of his dental prosthesis during an attempted strangulation, which was unacknowledged until 6 months later when he was hospitalized with acute respiratory failure and required an emergency surgical tracheotomy. The foreign body was successfully removed via flexible bronchoscopy.

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Use of flexible bronchoscopy in an adult for removal of an aspirated foreign body at a community hospital

Cited by 12 publications

References 17 publications

Repeated Synchronous Aspiration and Ingestion of a Sharp Metallic Foreign Body in a Mentally Disabled Adolescent

Repeated Synchronous Aspiration and Ingestion of a Sharp Metallic Foreign Body in a Mentally Disabled Adolescent

Application of flexible fiberoptic bronchoscopy in the removal of adult airway foreign bodies

Management of a case of unacknowledged foreign body in the upper airway

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