Positive Pressure Bronchoscopy Technique: Case Report. (February 2016)

• Record Type: Journal Article
• Authors: Hall, Michael B.; Johnston, Douglas R.; Barth, Patrick
• Is Part Of: Annals of otology, rhinology & laryngology. Volume 125:Number 2(2016:Feb.)
• Page Start: 165
• Page End: 168
• Publication Date: 2016-02
• Subjects: pediatric otolaryngology -- bronchoscopy -- positive pressure bronchoscopy -- airway foreign body; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0003489415602265
• Languages: English
• ISSNs: 0003-4894

Abstract

Objective: Foreign body aspiration into the tracheobronchial tree continues to be a challenging problem for otolaryngologists. This is especially true in patients with poor pulmonary reserve. Methods: We describe a novel technique in which an endotracheal sheathed bronchoscope is used as a means to provide positive pressure ventilation simultaneously during foreign body extraction. Results: This new technique afforded the bronchoscopist more time during retrieval of the foreign body where previous attempts were limited by rapid desaturations and the overall nature of the foreign body. Conclusion: The endotracheal sheathed bronchoscope is a safe and efficacious technique for challenging airway foreign bodies complicated by a patient's limited pulmonary reserve.