Bronchoscopic extraction of aspirated foreign bodies in children

Am J Dis Child. 1982 Oct;136(10):924-7. doi: 10.1001/archpedi.1982.03970460054011.


New instruments and techniques have refined the art of extracting aspirated foreign bodies from children. During a five-year period at the University of New Mexico, Albuquerque, bronchoscopic extractions were successful in 40 of 41 children (98%). The extractions were performed with the patient under general anesthesia, using a pediatric ventilating bronchoscope that contained the Hopkins rod-lens system. Two methods of extraction were used, depending on the shape of the foreign object: the Fogarty balloon technique for spherical objects, and the forceps technique for flat objects. Using these techniques, most foreign bodies (80%) were removed on the first or second pass of the bronchoscope. Because bronchoscopic extraction is a delicate procedure and carries a risk of cardiorespiratory arrest, it should be performed by endoscopists and anesthesiologists who are skilled with this procedure in children.

MeSH terms

  • Bronchi*
  • Bronchoscopy* / adverse effects
  • Bronchoscopy* / methods
  • Child
  • Child, Preschool
  • Female
  • Foreign Bodies / therapy*
  • Heart Arrest / etiology
  • Humans
  • Infant
  • Male
  • Trachea*