From rigid to flexible bronchoscopy: a tertiary center experience in removal of inhaled foreign bodies in children

Golan‐Tripto, Inbal; Mezan, Dina Weinstein; Tsaregorodtsev, Sergey; Stiler-Timor, Liran; Dizitzer, Yotam; Goldbart, Aviv; Aviram, Micha

doi:10.1007/s00431-020-03914-y

Cited by 23 publications

(47 citation statements)

References 25 publications

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“…Similarly, cough severity was higher in NS group (sever cough) when compared to L (moderate cough) and LA (mild) group and when L (moderate) group were compared to LA (mild) group. However, the incidence of post-operative stridor was of no statistically significant values among the studied groups (p = 0.318) as shown in table (5).…”

Section: Basalmentioning

confidence: 82%

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Preemptive Nebulization of Lidocaine Epinephrine Before Anesthesia for Rigid Bronchoscopy in Pediatric: A Randomized Controlled Study

Taman

Saber²,

El-Desoky³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Foreign body aspiration in pediatrics is usually managed by rigid bronchoscopy, which is associated with plenty of adverse events. Objective: We tried to compare the effect of nebulized saline, lidocaine or combined lidocaine with epinephrine on postoperative respiratory complications. Patients and methods: This prospective study included 90 children, who were divided into three groups according to the nebulized solution; NS group (normal saline 0.9%), L group (lidocaine 1% 4 mg.kg -1 ) and LA group [4 mg.kg -1 lidocaine 1% and adrenaline (1:1000) 3 mg). Our primary outcome was the incidence of post-operative respiratory complications, while the secondary ones included hemodynamic changes and the incidence of intraoperative cough or desaturation. Results: All pre-procedural data were insignificant among the three groups. The LA group expressed higher heart rates, while the L group showed a significant reduction when compared to NS group. Propofol consumption showed a significant decline in two studied groups compared to the NS group. Intraoperative cough was higher in NS group in comparison to L and LA groups. Although, intraoperative desaturation per case along with post-operative sedation showed no significant difference among the three groups, post-operative cough frequency attacks and severity were higher in NS group when compared to L and LA group and when L group were compared to LA group. Postoperative stridor was insignificant among the three groups. Conclusion: Nebulized lidocaine/adrenaline combination is appropriate option to achieve proper intraoperative sedation and upper airway conditions with reduction of post-operative negative respiratory outcomes together with minor hemodynamic changes.

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Section: Basalmentioning

confidence: 82%

“…For more than a century, rigid bronchoscopy has been a crucial tool in the diagnosis and treatment of various airway pathologies 5 . Despite the widespread use of flexible bronchoscopy, the rigid one is still used as the gold standard option for many complex airway diseases, including foreign body aspiration 6,7 .…”

Section: Introductionmentioning

confidence: 99%

Preemptive Nebulization of Lidocaine Epinephrine Before Anesthesia for Rigid Bronchoscopy in Pediatric: A Randomized Controlled Study

Taman

Saber²,

El-Desoky³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…The first reported successful bronchoscopic elimination was by Gustav Killian in 1897 [ 38 ]. Rigid bronchoscopy is considered the first choice for foreign body retrieval as it provides broader view, allows airway ventilation, and requires less surgical experience [ 37 , 39 ]. Recently, flexible bronchoscopy has been more commonly used for FBA cases as it is operated under conscious sedation instead of general anesthesia thus, reducing procedure duration and its associated complications.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic fixed partial denture aspiration: A case report

Gharaibeh

Hamouri

Sharie

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction and importance Foreign body aspiration (FBA) is more frequently presented in children and considered a rare presentation in adults. One of the most common causes of FBA in adults are orthodontic appliances. Case presentation We present a case of a 70-year-old male with an accidently discovered fixed partial denture (bridge) in the right mainstem bronchus. The partial denture was removed successfully by flexible bronchoscopy. Clinical discussion FBA is an event that most frequently occurs with children, and rarely with adults having various risk factors and complications on patients. Conclusion This study aims to spotlight the danger of asymptomatic FBA and how retrieving sharp objects can be managed by flexible bronchoscopy thus leading to better management and increased awareness of such cases.

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“…In a pediatric population, this advantage is even more pronounced. Different types of laryngeal mask airways have been used for many types of procedures, including airway stent insertion, treatment of haemoptysis, and in paediatric interventions [10][11][12][13][14].…”

Section: Airway Managementmentioning

confidence: 99%

Anesthesia for interventional pulmonology

Semmelmann

Loop

2021

Current Opinion in Anaesthesiology

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Purpose of reviewAnesthesia for pulmonological interventions is a demanding challenge. This article discusses recent innovations and the implications for periinterventional anesthetic management. Recent findingsInterventional pulmonology is a rapidly expanding specialty with very complex diagnostic and therapeutic approaches that include oncological staging, treatment of obstructive and restrictive lung diseases, recanalization of endobronchial obstructions, and retrieval of foreign bodies. With the development of advanced diagnostic and therapeutic interventions, the application is extended to critically ill patients. Current evidence focusing on the anesthetic techniques is presented here.

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From rigid to flexible bronchoscopy: a tertiary center experience in removal of inhaled foreign bodies in children

Cited by 23 publications

References 25 publications

Preemptive Nebulization of Lidocaine Epinephrine Before Anesthesia for Rigid Bronchoscopy in Pediatric: A Randomized Controlled Study

Preemptive Nebulization of Lidocaine Epinephrine Before Anesthesia for Rigid Bronchoscopy in Pediatric: A Randomized Controlled Study

Asymptomatic fixed partial denture aspiration: A case report

Anesthesia for interventional pulmonology

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