Rigid ventilating video bronchoscope with forceps for bronchoscopic foreign body removal in children

Authors

  • Sagar Jawale Department of Pediatric Surgery, 1Jawale Institute of Paediatric Surgery, Jalgoan, Maharashtra
  • Parthapratim Gupta Department of Pediatric Surgery, Institute of Child Health, Kolkata, Wes Bengal,
  • Bharti Kulkarni Department of Pediatric Surgery, D.Y. Patil Medical College, Nerul, Maharashtra

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20192746

Keywords:

Bronchoscopic foreign body removal, Video bronchoscope, Bronchoscopy, Rigid video bronchoscope with forceps

Abstract

Bronchoscopic foreign body removal is a potentially dangerous and challenging procedure in pediatric surgery. bronchoscopy under general anaesthesia is the gold standard of diagnosis and management of foreign body aspiration. A large ventilating channel and better control over the tip of the instrument and cheaper instrument are the merits of rigid bronchoscopy over flexible one. Traditionally a rigid tube alone is used for this purpose which has extreme limitations of vision and it is risky. Foreign body aspiration typically occurs in 6 to 18 month age and the size of glottis is very small at this age. In Indian children who are small and malnourished the large assembly of sheath and telescope mounted forceps does not pass through the glottis. To overcome the limitations of the traditional equipment I designed my own bronchoscopy equipment by my 15 year of experience in bronchoscopy. This type of device is reported for the first time in medical literature and patent is filed for it at Mumbai office.

 

Author Biographies

Sagar Jawale, Department of Pediatric Surgery, 1Jawale Institute of Paediatric Surgery, Jalgoan, Maharashtra

Self employeed at Jawale Institute of Pediatric Surgery

Parthapratim Gupta, Department of Pediatric Surgery, Institute of Child Health, Kolkata, Wes Bengal,

Head of the Department of Pediatric Surgery at the Institute of Child Health, Kolkata

Bharti Kulkarni, Department of Pediatric Surgery, D.Y. Patil Medical College, Nerul, Maharashtra

D.Y. Patil medical college and research center, Nerul, Mumbai

References

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Farrell PT. Rigid Bronchoscopy for foreign body removal: anaesthesia and ventilation. Paediatr Anaesth. 2004;14(1):84–9.

Naragund AI, Mudhol RS, Harugop AS, Patil PH, Hajare PS, Metgudmath VV. Tracheo-Bronchial Foreign Body Aspiration in Children: A One Year Descriptive Study. Indian J Otolaryngol Head Neck Surg. 2014;66(Suppl 1):180–5.

Haddadi S, Marzban S, Nemati S, Ranjbar Kiakelayeh S, Parvizi A, Heidarzadeh A. Tracheobronchial Foreign-Bodies in Children; A 7 Year Retrospective Study. Iran J Otorhinolaryngol. 2015;27(82):377-85.

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Published

2019-06-27

Issue

Section

Letter to the Editor