Caution to use bronchoscopic CO<sub>2</sub>cryotherapy for foreign body removal in children

Hammer, Jürg; Trachsel, Daniel; Nicolaï, Thomas; Weiß, Markus; Eber, Ernst

doi:10.1002/ppul.23450

Cited by 15 publications

(10 citation statements)

References 15 publications

(12 reference statements)

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“…An expanding assortment of special equipment such as forceps, balloon, basket, laser, and cryoprobe is available, providing the ability to offer appropriately selected children interventional bronchoscopic procedures. However there is a scarcity of published studies in this field, and various procedures are controversially discussed …”

Section: Discussionmentioning

confidence: 99%

Pediatric flexible and rigid bronchoscopy in European centers—Availability and current practice

Schramm

Yin

Wiemers

et al. 2017

Pediatric Pulmonology

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Section: Discussionmentioning

confidence: 99%

Pediatric flexible and rigid bronchoscopy in European centers—Availability and current practice

Schramm

Yin

Wiemers

et al. 2017

Pediatric Pulmonology

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“…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]. 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%

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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“…As reported in our survey, flexible bronchoscopy shall only be used for foreign body removal, if a rapid change to rigid bronchoscopy is available. As pointed out by Hammer et al, it appears highly questionable to change a safe and well‐established technique for something new, which is potentially less safe and less successful …”

Section: Discussionmentioning

confidence: 99%

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

Schramm

Ling

Schuster

et al. 2016

Pediatric Pulmonology

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Published data shows that rigid bronchoscopy involves fewer complications and is more successful in foreign body removal in children. It is consequently questionable, why 20% of the medical centers report a preference for the flexible method. One reason might be the poor availability of rigid bronchoscopy and the difficulty gaining sufficient expertise in rigid bronchoscopy in Germany. Pediatr Pulmonol. 2017;52:656-661. © 2016 Wiley Periodicals, Inc.

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Caution to use bronchoscopic CO₂cryotherapy for foreign body removal in children

Cited by 15 publications

References 15 publications

Pediatric flexible and rigid bronchoscopy in European centers—Availability and current practice

Pediatric flexible and rigid bronchoscopy in European centers—Availability and current practice

ERS statement: interventional bronchoscopy in children

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

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Caution to use bronchoscopic CO2cryotherapy for foreign body removal in children

Cited by 15 publications

References 15 publications

Pediatric flexible and rigid bronchoscopy in European centers—Availability and current practice

Pediatric flexible and rigid bronchoscopy in European centers—Availability and current practice

ERS statement: interventional bronchoscopy in children

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

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Caution to use bronchoscopic CO₂cryotherapy for foreign body removal in children