Comparison of Direct Vision and Video Imaging During Bronchoscopy for Pediatric Airway Foreign Bodies

2003 ◽  
Vol 10 (3) ◽  
pp. 241-242
Author(s):  
&NA;
Keyword(s):  
Foreign Bodies ◽  
Direct Vision ◽  
Pediatric Airway ◽  
Video Imaging

scholarly journals Comparison of direct vision and video imaging during bronchoscopy for pediatric airway foreign bodies

2003 ◽  
Vol 82 (2) ◽  
pp. 129-133 ◽  
Author(s):  
Cheng-Chien Yang ◽  
Kuo-Sheng Lee
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Direct Vision ◽  
Pediatric Airway ◽  
Video Imaging ◽  
Significant Difference ◽  
Positive Rate ◽  
The Difference ◽  
Videotape Recording ◽  
Second Procedure

Rigid ventilation bronchoscopy is a most useful means of detecting and removing foreign bodies in the airway. We performed a retrospective study of 114 children who had undergone such a procedure during a 12-year period. During bronchoscopy, 48 of these patients had been examined under direct vision and 66 by videotape recording. We found that the positive rate on first-look direct vision was 93.8% and the positive rate on first-look video imaging was 89.4%. The lower positive rate during the first-look examination by video imaging might be attributable to the facts that it is safer and that it provides a better visual field, which can encourage operators to choose video ventilation bronchoscopy, either as a diagnostic or therapeutic tool. In addition, three foreign-body-negative patients in the direct-vision group underwent a second procedure, and a foreign body was found in all three. Only one of the video-imaging patients underwent a second procedure, and no foreign body was found. The difference in the positive rates after the second procedure was statistically significant (p<0.05). This might be attributable to the higher success rate with video imaging following the first procedure, which significantly reduced the need for a second look and the possibility of overlooked or residual foreign bodies. The condition of the mucosa postprocedurally was described in every case after video imaging but after only 41.7% of the direct-vision cases—a statistically significant difference (p<0.001). Video imaging provides the physician with a clear, magnified view of the area under examination. It allows for later review of the videotape when necessary, and it reduces the risk that residual foreign-body material will remain in the airway.

Yield of preoperative findings in pediatric airway foreign bodies - A meta-analysis

2020 ◽  
Vol 139 ◽  
pp. 110442
Author(s):  
Gil Zoizner-Agar ◽  
Sabah Merchant ◽  
Binhuan Wang ◽  
Max M. April
Keyword(s):  
Foreign Bodies ◽  
Meta Analysis ◽  
Pediatric Airway

Utility of Conventional Radiography in the Diagnosis and Management of Pediatric Airway Foreign Bodies

1998 ◽  
Vol 107 (10) ◽  
pp. 834-838 ◽  
Author(s):  
Andrew B. Silva ◽  
Harlan R. Muntz ◽  
Randall Clary
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Operative Intervention ◽  
Radiographic Imaging ◽  
Pediatric Airway ◽  
Diagnosis And Management ◽  
Breath Sounds ◽  
Airway Foreign Body

Pediatric airway foreign bodies are potentially life-threatening situations. The otolaryngologist is often consulted to aid in the diagnosis and management of these difficult cases. Although radiographic studies are often obtained, the decision for surgical intervention is usually based on a suspicious history and physical examination. Our hypothesis is that radiographic imaging should not alter the decision for surgical intervention. We retrospectively reviewed the cases of pediatric airway foreign bodies managed by the otolaryngology department at St Louis Children's Hospital between December 1990 and June 1996 with both radiographic imaging and operative intervention. Ninety-three cases of potential aspiration were identified, with a median patient age of 20 months. The most common presenting signs and symptoms were aspiration event (n = 82), wheezing (n = 76), decreased breath sounds (n = 47), cough (n = 39), respiratory distress (n = 17), fever (n = 16), pneumonia (n = 14), and stridor (n = 7). At the time of endoscopy, 73 patients were found to have an airway foreign body. The sensitivity and specificity of the imaging studies in identifying the presence of an airway foreign body in the 93 patients were 73% and 45%, respectively. Our decision for operative intervention was based on the history and physical examination, and was not changed in the presence of a negative radiographic study. The routine use of radiography should not alter the management of airway foreign bodies, providing that there is a well-equipped endoscopic team familiar with airway foreign bodies.

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

2021 ◽  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Pediatric Population ◽  
Operation Time ◽  
Operative Management ◽  
Flexible Bronchoscopy ◽  
Emergency Setting ◽  
Flexible Bronchoscope ◽  
Pediatric Airway

Objective: Tracheobronchial aspiration of foreign body in children is an emergency that can lead to major complications. In the last years flexible bronchoscopy has gained popularity for foreign bodies retrieval in the pediatric population, yet the small size of the pediatric airway and of the flexible bronchoscope channel limit the availability of instruments during the procedure. Aim of this paper is to describe our experience in treating foreign bodies tracheobronchial aspiration in children aged 2 years or less by means of flexible bronchoscope and an urology stone retrieval basket. Methods: A review of endoscopic foreign bodies removal by means of flexible bronchoscopy and urology stone retrieval basket has been carried out in children ≤ 2 years that presented at the Emergency Room of our hospital from 2005 to 2019. In the paper, we analyze characteristics of patients, timing of bronchoscopy, instruments and operative management. Results: There were 25 patients with a mean age of 20 ± 3.8 months. Organic material was the most frequent observed foreign body. Association of main bronchus and distal bronchi was the preferred site of the foreign body in 19 patients and the right side of the bronchial tree was involved in 17 cases. Complications occurred in one case. Mean operation time was 37 ± 20 minutes. Conclusions: The use of flexible bronchoscope can be helpful in handling endoscopic removal of tracheobronchial foreign bodies in toddlers. The use of the urology stone retrieval basket resulted very effective in all shapes of foreign bodies and/or when the object was located in the distal bronchi.

Pediatric Airway Foreign Bodies and Their Management by Rigid Bronchoscopy: How I Experienced

2020 ◽  
Author(s):  
Suhail Amin Patigaroo ◽  
Nazia Mehfooz ◽  
Omar Mohammed Shafi ◽  
Sajad Majid Qazi ◽  
Rauf Ahmad
Keyword(s):  
Foreign Bodies ◽  
Rigid Bronchoscopy ◽  
Pediatric Airway

Pediatric Airway and Esophageal Foreign Bodies

2017 ◽  
Vol 97 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Elizabeth A. Berdan ◽  
Thomas T. Sato
Keyword(s):  
Foreign Bodies ◽  
Pediatric Airway ◽  
Esophageal Foreign Bodies

The Utility of Adding Expiratory or Decubitus Chest Radiographs to the Radiographic Evaluation of Suspected Pediatric Airway Foreign Bodies

2013 ◽  
Vol 61 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Julie C. Brown ◽  
Teresa Chapman ◽  
Eileen J. Klein ◽  
Sarah L. Chisholm ◽  
Grace S. Phillips ◽  
...  
Keyword(s):  
Foreign Bodies ◽  
Chest Radiographs ◽  
Radiographic Evaluation ◽  
Pediatric Airway

The treatment of retained peripheral foreign bodies in the pediatric airway

1981 ◽  
Vol 16 (5) ◽  
pp. 694-699 ◽  
Author(s):  
Donald W. Hight ◽  
Arvin I. Philippart ◽  
Jack H. Hertzler
Keyword(s):  
Foreign Bodies ◽  
Pediatric Airway

Identification of aspirated radiolucent foreign bodies in the pediatric airway using digital tomosynthesis: a multireader phantom study

2020 ◽  
Vol 7 (05) ◽  
Author(s):  
Gentry Russell ◽  
Nima Kasraie ◽  
Janelle Noel-MacDonnell ◽  
Amie L. Robinson ◽  
Sherwin S. Chan
Keyword(s):  
Foreign Bodies ◽  
Phantom Study ◽  
Digital Tomosynthesis ◽  
Pediatric Airway
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