These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Indications of bronchial endoscopy in suspected tracheo-bronchial foreign body in children].
    Author: Martinot A, Deschildre A, Brichet A, Leclerc F.
    Journal: Rev Mal Respir; 1999 Nov; 16(4 Pt 2):673-8. PubMed ID: 10897830.
    Abstract:
    The diagnosis and early extraction of a respiratory foreign body (FB) in a child requires a rapid bronchoscopy. Thus, the possibility of a foreign body requires an endoscopy even in the absence of clinical or radiological signs. While the sensitivity of "the foreign body syndrome" is important (79-85%) its specificity is low (21-46%) which results in numerous endoscopies which do not show FB. This justifies the promotion of flexible fibroscopy, under a simple local anaesthesia of the upper airways and some sedation, each time that the foreign body is not obvious. That is when there is an absence of a radio-opaque foreign body (2-20% of cases) or an absence of associated unilateral diminution in breath sounds or ipsilateral obstructive emphysema (a positive predicted value of 94%, 95% confidence interval: 71-100%). The complications of flexible fibroscopy are rare but still justify its performance in an environment where there is resuscitation equipment and the possibility of rapidly performing a rigid bronchoscopy. Rigid bronchoscopy, which requires a general anaesthesia, remains the best technique to remove a foreign body in a child. It is also indicated initially in cases of respiratory distress where there is a fear of a foreign body in the trachea. The extraction of the CE by flexible fibroscopy under general anaesthesia has been reported in children but it is more difficult and more risky.
    [Abstract] [Full Text] [Related] [New Search]