How to perform endoscopy in paediatric otorhinolaryngology?

N Leboulanger1, C Celerier2, B Thierry2

  • 1Service d'ORL et de chirurgie cervico-faciale pédiatrique, Hôpital Universitaire Necker Enfants Malades, 149, rue de Sèvres, 75015 Paris, France; Faculté Paris V René Descartes, 12, Rue de l'École de Médecine, 75006 Paris, France; IMRB - Inserm U955, Faculté de Médecine de Créteil, 8, rue du Général Sarrail, 94010 Créteil cedex, France.

Insights

Pediatric upper airway endoscopy requires a skilled team and rigorous adherence to procedure. Effective communication among the surgical, anesthesia, and nursing staff is crucial for managing potential complications during this high-risk procedure.

Area of Science:

  • Pediatric Otolaryngology
  • Medical Procedures
  • Patient Safety

Background:

  • Pediatric upper airway endoscopy is recognized as a high-risk medical procedure.
  • Successful outcomes depend heavily on team expertise and preparedness.
  • Standardized protocols are vital for managing complex cases.

Purpose of the Study:

  • To outline the critical elements of safe pediatric upper airway endoscopy.
  • To emphasize the importance of team communication and rigorous procedural steps.
  • To share practical experience and best practices in performing this procedure.

Main Methods:

  • Adherence to a standardized, rigorous sequence of procedural steps.
  • Emphasis on clear and consistent communication between surgeon, anesthesiologist, and operating room nurse.
  • Ensuring a well-trained and fully equipped medical team.

Main Results:

  • A systematic approach minimizes risks associated with pediatric airway endoscopy.
  • Anticipation of potential difficulties through effective communication enhances patient safety.
  • Standardized practices contribute to successful procedural outcomes.

Conclusions:

  • Pediatric upper airway endoscopy demands a highly trained team and strict adherence to established protocols.
  • Effective interdisciplinary communication is paramount for anticipating and managing emergent situations.
  • The authors' experience highlights the necessity of rigorous practice for safe and effective endoscopy.

Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
1.9K
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
888
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
1.4K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.0K
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
5.4K
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
1.2K