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Bronchoscopic techniques for removal of foreign bodies in children's airways.

Abstract

INTRODUCTION
The management of airway foreign bodies (AFB) can be a dramatic situation in the emergency treatment of children and different techniques have been used to improve the therapeutic success and minimize risks.
OBJECTIVE
to describe the bronchoscopic techniques used in the treatment of AFB in children referred to the Service of Respiratory Endoscopy of HC-FMUSP.
PATIENTS AND METHODS
Retrospective analysis of 78 children who underwent bronchoscopy for foreign body removal, at our Service from February 2003 to April 2008.
RESULTS
78 patients with an AFB, aged 08 months to 14 years, with 39 being organic and 39 inorganic foreign bodies. Nine foreign bodies were located in the central airway (four in the larynx and five in the trachea), 34 in the right bronchial tree and 33 in the left bronchial tree. There was bilateral aspiration in two cases. All patients were initially submitted to diagnostic flexible bronchoscopy. A rigid bronchoscope was used in 39 cases; a flexible bronchoscope in 23 and an association of techniques in 15 cases (rigid bronchoscopy, flexible bronchoscopy, suspension laryngoscopy, and fluoroscopy).
DISCUSSION
Although the rigid bronchoscopy is considered the main tool for the removal of foreign bodies from airways, other useful techniques deserve attention as part of the medical training.
CONCLUSION
The knowledge and association of different methods in pediatric bronchoscopy add the benefits of one method to another, minimizing the chances of therapeutic failure.

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  • Publisher Full Text
  • Authors

    Rodrigues AJ, Scussiatto EA, Jacomelli M, Scordamaglio PR, Gregório MG, Palomino AL, Oliveira EQ, Figueiredo VR

    Institution

    Service of Respiratory Endoscopy of Hospital das Clinicas, FMUSP Prédio dos Ambulatórios, São Paulo SP, Brasil. ascedio@gmail.com

    Source

    Pediatric pulmonology 47:1 2012 Jan pg 59-62

    MeSH

    Adolescent
    Airway Obstruction
    Bronchi
    Bronchoscopes
    Bronchoscopy
    Child
    Child, Preschool
    Foreign Bodies
    Humans
    Infant
    Laryngoscopes
    Laryngoscopy
    Larynx
    Lung
    Respiratory Aspiration
    Respiratory System
    Retrospective Studies
    Trachea

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    21830314