Article
Otorhinolaryngology
Austin S. Lam, Michael D. Bindschadler, Kelly N. Evans, Seth D. Friedman, Matthew S. Blessing, Randall Bly, Michael L. Cunningham, Mark A. Egbert, Russell E. Ettinger, Emily R. Gallagher, Richard A. Hopper, Kaalan Johnson, Jonathan A. Perkins, Erin K. Romberg, Kathleen C. Y. Sie, Srinivas M. Susarla, Carlton J. Zdanski, Xing Wang, Jeffrey P. Otjen, Francisco A. Perez, John P. Dahl
Summary: The study evaluated the performance of 4D-CT and FFL in assessing upper airway obstruction in Robin sequence patients. Results showed that 4D-CT may be more accurate in assessing the severity of UAO, while both modalities demonstrated similar reliability in assessments. Additionally, nonotolaryngologists may interpret 4D-CT results with greater confidence compared to FFL.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2022)
Article
Pediatrics
Valentina Agnese Ferraro, Eugenio Baraldi, Diana Stabinger, Andrea Zamunaro, Stefania Zanconato, Silvia Carraro
Summary: Pediatric flexible laryngotracheal bronchoscopy is a crucial diagnostic and therapeutic tool in tertiary pediatric respiratory centers. A study on 447 pediatric FBs performed between 2013 and 2018 revealed main indications for the procedure, such as recurrent lower respiratory tract infections and chronic wet cough, with the most common abnormal finding being lower airway malacia.
PEDIATRIC PULMONOLOGY
(2021)
Article
Medicine, General & Internal
Tingting Yu, Le Sun, Xinmei Liu, Wei Zhu
Summary: Invasive silicone tracheobronchial stenting via rigid bronchoscopy is a viable option for infants with central airway obstruction. Properly choosing the appropriate size of the stent is crucial for the success of the procedure, as reported in this study where satisfactory outcomes were observed in most cases after 6 months of follow-up.
Article
Respiratory System
Marc Fortin, Lonny Yarmus, Erino Angelo Rendina, Samaan Rafeq, Rafael Andrade, Gaetane Michaud, Jordan Kazakov, Sixto Arias, Anna Maria Ciccone, Ricardo Ortiz, Moishe Liberman
Summary: A multicentre retrospective analysis found that rigid tracheobronchoscopy (RTB) is associated with a 6.7% non-lethal complication rate, a 1.2% periprocedural mortality rate, and a 5.6% 30-day mortality rate. Complication rate increases in emergency settings, and procedures in patients with malignant airway obstruction are associated with a higher 30-day mortality rate.
Article
Medicine, General & Internal
Jonghae Kim, Bum Young Park, Jung A. Lim
Summary: Awake bronchoscopy-guided intubation is a safe method for airway management in patients with endotracheal masses. Close cooperation between anesthesiologists and surgeons, as well as preoperative preparation for airway management, are essential. It is important to have alternative plans in place in case intubation and ventilation are not possible.
Article
Medicine, Research & Experimental
Penelope Neocleous, Agnieszka Dzioba, Julie Strychowsky, Murad Husein, Evan J. Propst, Lily H. P. Nguyen, Nikolaus E. Wolter, Peng You, Sukgi Choi, Michele Torre, George Zalzal, Sanjay Parikh, Deepak Mehta, M. Elise Graham
Summary: This study used a Delphi consensus process to reach consensus on the most important components of an operative note for pediatric microlaryngoscopy and bronchoscopy. A checklist was created, and after two rounds of editing, 28 components reached consensus. The identified components include procedure name, description of breathing, grade of airway view, description of normal anatomic structures, and various special cases.
Article
Anesthesiology
Jing-Jin Li, Nan Li, Wei-Jia Ma, Ming-Xue Bao, Zi-Yang Chen, Zheng-Nian Ding
Summary: The use of muscle relaxants and low-frequency traditional ventilation is safe in bronchoscopy treatments for patients with CAO. These findings provide valuable clinical evidence for optimizing anesthesia management in bronchoscopy procedures for these patients.
BMC ANESTHESIOLOGY
(2021)
Article
Medicine, Research & Experimental
Erik B. Hysinger, Catherine K. Hart, Gregory Burg, Alessandro De Alarcon, Dan Benscoter
Summary: This retrospective study compared flexible and rigid bronchoscopy for evaluating tracheomalacia in children, finding moderate agreement but differences in assessing severity of airway collapse. Further research is needed to understand factors leading to discordance between the two techniques.
Article
Otorhinolaryngology
Julie Highland, Vanessa Torrecillas, Taylor Redding, Billie Bixby, Aidin Iravani, Travis Haller, Matthew Firpo, Reza Nouraei, Marshall Smith
Summary: This study aimed to determine the optimal head position for visualizing the subglottis using flexible laryngoscopy. Three head positions (sniffing, chin tuck, and stooping) were evaluated. The results showed that flexed and stooping positions provided better views of the subglottis compared to the sniffing position. Older age and higher body mass index were associated with lower airway grade and visual analog scale scores in the flexed position.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Article
Audiology & Speech-Language Pathology
Roger W. Boles, William Z. Gao, Michael M. Johns, James J. Daniero, Nazaneen N. Grant, Adam D. Rubin, Neel K. Bhatt, Edie R. Hapner, Karla O'Dell
Summary: This study aimed to compare the image quality and diagnostic ability of flexible distal-chip laryngoscopy (FDL) and rigid telescopic laryngoscopy (RTL). The results showed significant superiority of RTL in terms of image quality and visualization of abnormalities. These findings suggest that RTL has better image quality compared to FDL, but further research is needed to determine if this difference is clinically significant.
Article
Medicine, General & Internal
Jacopo Vannucci, Rosanna Capozzi, Damiano Vinci, Silvia Ceccarelli, Rossella Potenza, Elisa Scarnecchia, Emilio Spinosa, Mara Romito, Antonio Giulio Napolitano, Francesco Puma
Summary: This retrospective study analyzed the use of a small diameter, short-cuffed, long orotracheal tube in 36 patients with critical airway obstruction undergoing rigid bronchoscopy. The innovative technique proved to be safe and effective in maintaining airway control and reducing procedure time.
JOURNAL OF CLINICAL MEDICINE
(2023)
Letter
Pediatrics
Anshula Tayal, Irfan Shekh, A. R. Karthik, Kana Ram Jat, Nitin Dhochak, Saurabh Mittal, Nishkarsh Gupta, Sushil K. Kabra, Karan Madan
Summary: Foreign body (FB) aspiration is a dangerous accident in children, but sometimes traditional methods may fail to remove distal impacted FBs. We presented two pediatric cases in which distal FBs were successfully mobilized and removed using a cryoprobe via flexible bronchoscopy after failed attempts with rigid bronchoscopy. Cryoextraction is advantageous for water-containing FBs and reduces the risk of fragmentation.
PEDIATRIC PULMONOLOGY
(2023)
Article
Pediatrics
Golan-Tripto Inbal, Weinstein Mezan Dina, Tsaregorodtsev Sergey, Stiler-Timor Liran, Dizitzer Yotam, Goldbart Aviv, Aviram Micha
Summary: Flexible bronchoscopy is an efficient and safe method for removal of inhaled foreign bodies in children, with shorter procedure time and minimal complication rate, making it a preferred choice by experienced multidisciplinary teams.
EUROPEAN JOURNAL OF PEDIATRICS
(2021)
Article
Respiratory System
Dirk Schramm, Nadine Freitag, Karsten Kotz, Ignacio Iglesias-Serrano, Mario Culebras-Amigo, Vladimir Koblizek, Santiago Perez-Tarazona, Enrique Cases Viedma, J. T. Srikanta, Peter Durdik, Kaid Darwiche, Sune Rubak, Patrick Stafler
Summary: This study aimed to assess the indications, success rates, and complications of airway cryotherapy in children. The results showed that cryotherapy was safe and had a high success rate in pediatric patients, and it could be used for the treatment and diagnosis of various airway diseases. Cryobiopsy demonstrated a higher diagnostic yield and has the potential to replace conventional forceps biopsy.
Article
Emergency Medicine
Arnim Vlatten, Tristan Dumbarton, David Vlatten, John Adam Law
Summary: Emergency pediatric airway management during restricted access to the head is challenging. This study compared different devices for face-to-face airway management and found that video laryngoscopy might be superior. Supraglottic airway devices were recommended for primary emergency pediatric airway management in situations with restricted head access based on participant ratings and actual operation time.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
