Foreign Body Aspiration
Conditions
Brief summary
Outcome of Bronchoscopy in Pediatric patient with foreign body aspiration
Interventions
Participants will undergo rigid bronchoscopy under general anesthesia using an age-appropriate rigid bronchoscope. The airway will be systematically inspected. Any identified foreign body will be removed using appropriate retrieval devices (optical forceps, retrieval basket, suction). Post-removal, the airway will be re-examined to confirm clearance and detect trauma.
Participants will undergo flexible fiberoptic bronchoscopy under sedation or general anesthesia. The bronchoscope will be inserted transorally or transnasally. The airway will be inspected, and foreign body retrieval attempted using retrieval baskets, forceps, or cryoprobe
Initial flexible bronchoscopy will be performed to locate the foreign body and inspect distal airways, followed by rigid bronchoscopy for definitive removal.
Participants will undergo pre-procedure high-resolution CT or virtual bronchoscopy. Based on imaging, either rigid or flexible bronchoscopy will be performed, targeting the suspected location to reduce procedure time.
Sponsors
Study design
Masking description
Masking Description
Eligibility
Inclusion criteria
* children less than 18 years with suspected foreign body aspiration
Exclusion criteria
* children with congenital airway anomalies other than foreign body aspiration
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Successful Foreign Body Removal | During bronchoscopy procedure (intra-operative, within 24 hours of intervention). | The proportion of patients in whom the foreign body is completely removed during the initial bronchoscopy procedure, as confirmed by direct visualization and/or post-procedure imaging. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of procedure-related complications (within 24 hours). | Intra-procedure and up to 24 hours post-procedure. | Number of patients who experience complications such as hypoxia (SpO₂ \< 90%), bleeding, airway trauma, pneumothorax, or cardiac arrhythmia. |