Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct;74(Suppl 2):2729-2737.
doi: 10.1007/s12070-020-02143-x. Epub 2020 Sep 16.

Pediatric Rigid Bronchoscopy for Tracheobronchial Foreign Bodies in Covid Times: Short Personal Experience

Suhail Amin Patigaroo  1 , Sajad Majid Qazi  1 , Rauf Ahmad  1 , Manzoor A Latoo  1 , Nisar Husain Dar  1 , Showkat A Showkat  1 , Ahsan Ali  1
Affiliations

Pediatric Rigid Bronchoscopy for Tracheobronchial Foreign Bodies in Covid Times: Short Personal Experience

Suhail Amin Patigaroo et al. Indian J Otolaryngol Head Neck Surg. 2022 Oct.

Abstract

This case series of 5 patients of rigid bronchoscopy done for tracheobronchial foreign bodies is presented to readers to share my experience of doing rigid bronchoscopy during Covid Times from March to July 2020 specifically sharing experience on personal protection with local innovations during the procedure. Indications, intra-procedure modifications and other relevant things are also presented. The observations and experience are purely personal gained during these months and may be subjected to further research and in no way substitute the well established facts.

Keywords: Covid; Local innovation; Pediatric tracheobronchial foreign bodies; Personal protection; Rigid bronchoscopy.

PubMed Disclaimer

Conflict of interest statement

Conflict of interestThe authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Showing simple gown and head cap used in first bronchoscopy. Also shows glass of scooter helmet used in first bronchoscopy as an additional protection. Also see that surgeon is very close to jet of air/aerosols while doing bronchoscopy
Fig. 2
Fig. 2
Showing Full gown but not water proof and local made facial shield as an additional protection used in second bronchoscopy. Also see that surgeon is very close to jet of air/aerosols while doing bronchoscopy
Fig. 3
Fig. 3
Showing Full water proof gown used in 3–5 bronchoscopy. Full face respirator with P100 filters (red) was used in 5th bronchoscopy. Also see that exhalation port of respirator at center is covered by white N-95 mask. The right side shows additional hood with hole at top (to decrease fogging) used to cover respirator
Fig. 4
Fig. 4
Shows a self made plastic box with two transparent polythene sheets attached anteriorly and posteriorly. A small window covered with thick transparent polythene is created for vision. Oxygen pipe entering the box can be seen
Fig. 5
Fig. 5
A transparent polythene sheet is attached to bronchoscope so that the sheet covers face, neck, shoulders and anesthetic circuit and Fiberoptic cable attachment. Also seen is a glass cap that is attached to working channel opening for closing the circuit when saturation starts dropping
See this image and copyright information in PMC

References

    1. Lu X, Zhang L, Du H, Zhang J, Li YY, Qu J, et al. SARS-CoV-2 infection in children. N Engl J Med. 2020 doi: 10.1056/nejmc2005073. - DOI - PMC - PubMed
    1. Kam K-Q, Yung CF, Cui L, Pin RLT, Mak TM, Maiwald M, et al. A well infant with coronavirus disease (COVID-19) with high viral load. Clin Infect Dis Off Publ Infect Dis Soc Am. 2019;361(2020):1701. doi: 10.1093/cid/ciaa201. - DOI - PMC - PubMed
    1. Magennis P, Kumar N (2020) British Association of Oral & Maxilofacial Surgeons & ENTUK: guidance PPE for patients with emergency oropharyngeal and nasopharyngeal conditions whose COVID Status is unknown
    1. Frauenfeldera C, Butlera C, Hartley B, Cochranea L, Jephsona C, Nasha R, et al. Practical insights for paediatric otolaryngology surgical cases and performing microlaryngobronchoscopy during the COVID-19 pandemic. Int J Pediatric Otorhinolaryngol. 2020 doi: 10.1016/j.ijporl.2020.110030. - DOI - PMC - PubMed
    1. Arevalo-Rodriguez I, Buitrago-Garcia D, Simancas-Racines D (2020) False-negative results of initial RT-PCR assays for COVID-19: a systematic review. medRxiv. Jan 1 - PMC - PubMed

LinkOut - more resources