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

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author RODRIGUES, Ascedio Jose FMUSP-HC
SCUSSIATTO, Evandro Alencar
JACOMELLI, Marcia FMUSP-HC
SCORDAMAGLIO, Paulo Rogerio FMUSP-HC
GREGORIO, Marcelo Gervilla FMUSP-HC
PALOMINO, Addy Lidvina Mejia FMUSP-HC
OLIVEIRA, Eduardo Quintino FMUSP-HC
FIGUEIREDO, Viviane Rossi FMUSP-HC
dc.date.issued 2012
dc.identifier.citation PEDIATRIC PULMONOLOGY, v.47, n.1, p.59-62, 2012
dc.identifier.issn 8755-6863
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/1446
dc.description.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. Pediatr Pulmonol. 2012; 47: 59- 62. (C) 2011 Wiley Periodicals, Inc.
dc.language.iso eng
dc.publisher WILEY-BLACKWELL
dc.relation.ispartof Pediatric Pulmonology
dc.rights restrictedAccess
dc.subject aspiration; children; bronchoscopy; foreign body
dc.subject.other flexible fiberoptic bronchoscopy; rigid bronchoscopy; body aspiration; management
dc.title Bronchoscopic techniques for removal of foreign bodies in children's airways
dc.type article
dc.rights.holder Copyright WILEY-BLACKWELL
dc.identifier.doi 10.1002/ppul.21516
dc.identifier.pmid 21830314
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author RODRIGUES, Ascedio Jose:HC:INCOR
hcfmusp.author JACOMELLI, Marcia:HC:ICHC
hcfmusp.author SCORDAMAGLIO, Paulo Rogerio:FM:
hcfmusp.author GREGORIO, Marcelo Gervilla:HC:ICHC
hcfmusp.author PALOMINO, Addy Lidvina Mejia:HC:ICHC
hcfmusp.author OLIVEIRA, Eduardo Quintino:HC:ICHC
hcfmusp.author FIGUEIREDO, Viviane Rossi:HC:ICHC
hcfmusp.author.external · SCUSSIATTO, Evandro Alencar:FMUSP, Serv Resp Endoscopy Hosp Clin, Sao Paulo, Brazil
hcfmusp.origem.id 2-s2.0-84155172807
hcfmusp.origem.id WOS:000298590800008
hcfmusp.publisher.city MALDEN
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
hcfmusp.citation.scopus 27
hcfmusp.citation.wos 25
hcfmusp.affiliation.country Brasil


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