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Pediatric rigid bronchoscopy and foreign body removal during the COVID-19 pandemic: case report
Darren Jonathan Leitao1, Jodi L P Jones2
1Department of Otolaryngology-Head and Neck Surgery, Rady College of Medicine, University of Manitoba, Room GB421-820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada. dleitao@hsc.mb.ca.
Insights
Foreign body aspiration in a child during COVID-19 required rigid bronchoscopy. Protective measures for healthcare workers and streamlined procedures were crucial for safe and effective foreign body removal.
Area of Science:
- Pediatric Surgery
- Respiratory Medicine
- Infectious Disease Epidemiology
Background:
- Foreign body aspiration is a common pediatric emergency.
- The COVID-19 pandemic introduced unique challenges and risks for healthcare workers during aerosol-generating procedures.
- Protecting healthcare personnel during bronchoscopy for foreign body removal is paramount.
Abstract:
We present the case of an eight year old boy who presented with foreign body aspiration during the COVID-19 pandemic. The patient was taken the operating room for rigid bronchoscopy and foreign body removal. The details of the operation, steps taken for protection of health care workers, and lessons learned are discussed. Bronchoscopy was performed using N95 respirators and Stryker Flyte Hood garments, combined with a streamlined instrument set-up. Simulation in advance of these cases improves communication and operative planning. Surgeons should have equipment to retrieve foreign bodies from the oropharynx available. Techniques that reduce surgical time and thus exposure risk should be considered.
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