A "Cool" extraction technique for difficult pediatric airway foreign bodies: Report of two cases

被引:2
作者
Tayal, Anshula [1 ]
Shekh, Irfan [2 ]
Karthik, A. R. [3 ]
Jat, Kana Ram [1 ]
Dhochak, Nitin [1 ]
Mittal, Saurabh [2 ]
Gupta, Nishkarsh [4 ]
Kabra, Sushil K. [1 ]
Madan, Karan [2 ,5 ]
机构
[1] All India Inst Med Sci, Dept Pediat, Div Pediat Pulmonol & Intens Care, New Delhi, India
[2] All India Inst Med Sci, Dept Pulm Crit Care & Sleep Med, New Delhi, India
[3] Canc Inst WIA, Dept Anaesthesia Pain & Palliat Care, Chennai, Tamil Nadu, India
[4] All India Inst Med Sci, Dept Onco Anaesthesia & Palliat Med, Dr BRAIRCH, New Delhi, India
[5] All India Inst Med Sci, Dept Pulm Crit Care & Sleep Med, New Delhi 11029, India
关键词
bronchoscopy; central airway obstruction; cough; cryotherapy; foreign body aspiration; ENDOSCOPY; REMOVAL; BODY;
D O I
10.1002/ppul.26530
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Foreign body (FB) aspiration is a potentially life-threatening accident in children. Traditionally, rigid bronchoscopy has been the procedure of choice for FB removal, however it may miss distally lodged FBs. We report two pediatric cases with distal impacted FBs that could not be retrieved by rigid bronchoscopy (RB) and were mobilised using Fogarty balloon followed by flexible bronchoscopic cryoextraction. The advantage of a cryoprobe is lower risk of fragmentation of FB that may occur with forceps. Cryoextraction is particularly advantageous for removing water-containing FBs. In both patients, FB was removed more than 2 weeks following aspiration, leading to the formation of granulation tissue around the FB, which considerably hampered the process. Using a laryngeal mask airway to secure the airway, FB removal by flexible bronchoscopy may be a safe and effective technique in skilled hands, especially for FBs impacted in distal airways with granulation tissue where RB fails.
引用
收藏
页码:2670 / 2674
页数:5
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