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Updated: Jul 11, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

[Perioperative management of airway foreign bodies in 35 pediatric patients]

Kanako Watanabe1, Kiyokazu Kagawa, Keiko Kinouchi

  • 1Department of Anesthesia and Intensive Care, Osaka Medical Center and Research Institute for Maternal & Child Health, Izumi 594-1101.

Masui. the Japanese Journal of Anesthesiology
|September 20, 2007
PubMed

Insights

Foreign body removal in children, primarily nuts and plastics, was successfully managed using general anesthesia and bronchoscopy. Most pediatric patients experienced no significant complications after removal.

Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Emergency Medicine

Context:

  • Foreign body ingestion and aspiration are common emergencies in pediatrics.
  • Timely diagnosis and removal are crucial to prevent complications.

Purpose:

  • To review the management and outcomes of pediatric foreign body removal.
  • To identify common foreign bodies and their locations.

Summary:

  • Retrospective review of 33 pediatric patients (35 cases) undergoing foreign body removal between 1995-2003.
  • Nuts and plastics were the most frequent foreign bodies, often lodged in the tracheobronchial tree.
  • Procedures included direct laryngoscopy and flexible fiberoptic bronchoscopy under general anesthesia, with successful extraction in most cases.

Impact:

  • Highlights the effectiveness of current management strategies for pediatric foreign bodies.
  • Informs clinical practice regarding diagnostic and therapeutic approaches.
  • Emphasizes the importance of prompt referral and intervention.

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