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Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
Published on: June 23, 2023
The "multiport airway adapter" in flexible bronchoscopy for peripheral bronchial foreign bodies in children
Kohei Matsushita1, Keiichi Uchida1, Kohei Otake1
1Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu 514-8507, Mie, Japan.
Insights
Flexible bronchoscopy for pediatric foreign body removal is challenging in narrow airways. A novel multiport airway adaptor facilitates passing thicker instruments alongside a flexible bronchoscope, improving foreign body removal in children.
Area of Science:
- Pediatric Pulmonology
- Medical Devices
- Emergency Medicine
Background:
- Bronchoscopic foreign body removal is common in children.
- Flexible bronchoscopy is frequently used but challenging in narrow pediatric tracheas.
Observation:
- This study reports a novel technique using a multiport airway adapter for flexible bronchoscopy.
- The adapter facilitated the passage of thicker instruments, such as forceps, alongside the flexible bronchoscope.
- This approach was used for successful bronchial foreign body removal in pediatric patients.
Findings:
- The multiport airway adapter enables the use of larger or specialized instruments with a flexible bronchoscope.
- This technique overcomes limitations imposed by narrow pediatric tracheas.
- Successful foreign body removal was achieved using this modified flexible bronchoscopic approach.
Implications:
- The multiport airway adapter represents an advanced tool for pediatric foreign body removal.
- This method may improve procedural success rates and reduce complications in challenging pediatric cases.
- Wider adoption of this technique could enhance the management of pediatric airway foreign bodies.
Abstract:
Many children require emergency foreign body removal by bronchoscopy. Although a flexible bronchoscope is frequently used for removal of a bronchial foreign body in children, this procedure is difficult in children with a narrow tracheal lumen, even using a thin flexible bronchoscope. This report describes the use of a multiport airway adaptor to remove a bronchial foreign body with a flexible bronchoscope. The thicker forceps etc. were passed alongside the flexible bronchoscope through the adaptor. These findings suggest that this multiport airway adaptor will be useful as an advanced tool for foreign body removal in pediatric patients.
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