Related Experiment Video

Updated: Jul 28, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.6K

A "Cool" extraction technique for difficult pediatric airway foreign bodies: Report of two cases

Anshula Tayal1, Irfan Shekh2, A R Karthik3

  • 1Department of Pediatrics, Division of Pediatric Pulmonology and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.

Pediatric Pulmonology
|June 2, 2023
PubMed

Insights

Foreign body (FB) aspiration in children can be serious. Flexible bronchoscopic cryoextraction, after rigid bronchoscopy failure, offers a safe method for removing distal FBs, even with granulation tissue.

Area of Science:

  • Pediatric Pulmonology
  • Interventional Bronchoscopy

Background:

  • Foreign body (FB) aspiration is a common pediatric emergency.
  • Rigid bronchoscopy (RB) is the standard for FB removal but struggles with distal or impacted FBs.

Observation:

  • Two pediatric cases presented with distal impacted FBs.
  • Initial attempts with RB failed to retrieve the FBs.

Findings:

  • Fogarty balloon mobilization followed by flexible bronchoscopic cryoextraction successfully removed FBs.
  • Cryoextraction minimizes FB fragmentation and is effective for water-containing FBs.
  • Successful removal occurred despite over two weeks post-aspiration with granulation tissue formation.

Implications:

  • Flexible bronchoscopic cryoextraction is a viable alternative when RB fails for distal FBs.
  • This technique, using a laryngeal mask airway, is safe and effective in experienced hands.
  • It is particularly useful for complex cases involving granulation tissue in distal airways.

Keywords:
bronchoscopycentral airway obstructioncoughcryotherapyforeign body aspiration

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.6K
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

668

Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
27
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
25
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...
275
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
546
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.9K
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
358