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Airway Foreign Bodies: Rigid vs Flexible Approach

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From Thoracic Surgery to Interventional Pulmonology

Part of the book series: Respiratory Medicine ((RM))

Abstract

Airway foreign body can be a medical emergency and is associated with significant morbidity and occasionally even death. The presentation may be acute, especially in children, who may manifest with respiratory failure requiring immediate intervention. In adults, the presentation is usually subacute and occasionally chronic. The initial step is confirmation of the diagnosis by performing flexible bronchoscopy. In majority of the cases, flexible bronchoscopy is therapeutic, and can be used successfully to remove a foreign body. Rigid bronchoscopy, however, may be required in younger children, in those with an asphyxiating foreign body or in situations where attempts with a flexible bronchoscope are unsuccessful. Herein, we discuss the various aspects of airway foreign body and the tools that are used for removing airway foreign body. In addition, we provide practical tips in handling and removing different types of airway foreign bodies.

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Authors and Affiliations

  1. Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

    Inderpaul Singh Sehgal, Sahajal Dhooria & Ritesh Agarwal

  2. Department of Pulmonary Medicine, Jaipur Golden Hospital, New Delhi and Rajiv Gandhi Cancer Institute, New Delhi, India

    Rajiv Goyal

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  1. Inderpaul Singh Sehgal
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  2. Sahajal Dhooria
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  3. Rajiv Goyal
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  4. Ritesh Agarwal
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Editors and Affiliations

  1. Director of Interventional Pulmonology, Director of Pulmonary Rehabilitation, Pulmonary & Critical Care Medicine, Wyoming Medical Center, Casper, WY, USA

    J. Francis Turner, Jr.

  2. Pulmonary and Critical Care, Louis A Johnson VA Medical Center, Clarksburg, WV, USA

    Prasoon Jain

  3. Division of Thoracic Surgery, University of Toronto, Toronto, ON, Canada

    Kazuhiro Yasufuku

  4. Buoncore Family Endowed Chair in Lung Transplantation, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA

    Atul C. Mehta

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Sehgal, I.S., Dhooria, S., Goyal, R., Agarwal, R. (2021). Airway Foreign Bodies: Rigid vs Flexible Approach. In: Turner, Jr., J.F., Jain, P., Yasufuku, K., Mehta, A.C. (eds) From Thoracic Surgery to Interventional Pulmonology. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-80298-1_5

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  • DOI: https://doi.org/10.1007/978-3-030-80298-1_5

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