Pediatric Rigid Bronchoscopy for Tracheobronchial Foreign Bodies in Covid Times: Short Personal Experience
- PDF / 1,276,647 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 61 Downloads / 196 Views
OTHER ARTICLES
Pediatric Rigid Bronchoscopy for Tracheobronchial Foreign Bodies in Covid Times: Short Personal Experience Suhail Amin Patigaroo1 • Sajad Majid Qazi1 • Rauf Ahmad1 • Manzoor A. Latoo1 Nisar Husain Dar1 • Showkat A. Showkat1 • Ahsan Ali1
•
Received: 8 August 2020 / Accepted: 7 September 2020 Ó Association of Otolaryngologists of India 2020
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 Rigid bronchoscopy Pediatric tracheobronchial foreign bodies Personal protection Local innovation
& Suhail Amin Patigaroo [email protected] Sajad Majid Qazi [email protected] Rauf Ahmad [email protected] Manzoor A. Latoo [email protected] Nisar Husain Dar [email protected] Showkat A. Showkat [email protected] Ahsan Ali [email protected] 1
Department of ENT and HNS, Government Medical College, Srinagar, J&K, India
Introduction Pediatric Foreign body aspirations are very common and demands early retrieval. Though the number of cases of foreign body aspirations decreased in this pandemic but unfortunately many cases still report to tertiary centers. There are some concerns with pediatric population. About 15% of paediatric COVID positive cases are asymptomatic and 25% present with symptoms of respiratory tract infection [1]. There are also concerns regarding the high viral load of asymptomatic paediatric patients [2]. During the initial period of pandemic (March–May) chances of pediatric patients reporting for bronchoscopy to be asymptomatic carriers were less but with the increasing trend of cases from June–July and possibility of community transmission in India, the scenario at present is every pediatric patient with tracheobronchial foreign body is Covid positive unless proven otherwise. This is in keeping with guidance emerging from surgical societies and professional organizations [3]. Rigid bronchoscopy is a very high aerosol generating procedure in terms of exposure to staff for the entirety of the procedure due to a combination of aerosol-generation and prolonged gas flow. The circuit is open most of the time during bronchoscopy and this along with manipulation of tracheobronchial mucosa distributes a very high aerosol volume [4]. The procedure should be done very quickly by the most expert persons involving the minimum staff to minimize their exposure [4]. In view of False negative rate of 2–29% in RT-PCR [5] and high percentage of children’s being asymptomatic carriers; a negative pre-bronchoscopy testing whereever
Data Loading...
