Pediatric rigid bronchoscopy and foreign body removal during the COVID-19 pandemic: case report

Pediatric rigid bronchoscopy and foreign body removal during the COVID-19 pandemic: case report
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DOI:
10.1186/s40463-020-00464-z
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发表时间:
2020-09-14
影响因子:
3.4
通讯作者:
Jones, Jodi L. P.
Jones, Jodi L. P.
中科院分区:
医学2区
文献类型:
--
作者:
Leitao, Darren Jonathan;Jones, Jodi L. P.

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我们报告一例八岁男童在新冠肺炎大流行期间出现异物吸入的病例。患者被带到手术室接受硬性支气管镜检查和异物取出。讨论了手术的细节,为保护卫生保健工作者采取的步骤,以及吸取的经验教训。支气管镜检查使用N95呼吸器和Stryker Flyte Hood服装,结合流线型仪器设置。在这些病例之前进行模拟可以改善沟通和手术计划。外科医生应准备好从口咽部取出异物的设备。应考虑减少手术时间和暴露风险的技术。
We present the case of an eight year old boy who presented with foreign body aspiration during the COVID-19 pandemic. The patient was taken the operating room for rigid bronchoscopy and foreign body removal. The details of the operation, steps taken for protection of health care workers, and lessons learned are discussed. Bronchoscopy was performed using N95 respirators and Stryker Flyte Hood garments, combined with a streamlined instrument set-up. Simulation in advance of these cases improves communication and operative planning. Surgeons should have equipment to retrieve foreign bodies from the oropharynx available. Techniques that reduce surgical time and thus exposure risk should be considered.