title: Removal of tracheobronchial foreign bodies via suspension laryngoscope and Hopkins telescope in infants.
abstract: OBJECTIVE
  Tracheobronchial foreign body aspiration is a life-threatening accident in infants, and is still a formidable clinical emergency to both otorhinolaryngologists and anesthesiologists. In this study, we attempted to assess the safety and ease of tracheobronchial foreign body removal in infants via suspension laryngoscopy and Hopkins telescopy under general anesthesia with endotracheal intubation.
  
  
  METHODS
  The retrospective clinical study from 2006 to 2010 included 50 infants with foreign body aspiration, of whom 35 underwent suspension laryngoscopy and Hopkins telescopy and the other 15 underwent rigid bronchoscopy. All of the procedures were under general anesthesia with endotracheal intubation.
  
  
  RESULTS
  All of the patients underwent temporary extubation. The foreign body was successfully removed in 46 cases and was not found in the other 4 cases. The mean operation time in the rigid bronchoscopy group was 13.20+/-9.01 minutes, and that in the Hopkins telescopy group was 5.79+/-3.54 minutes. The oxygen saturation level was below 90% in 17 cases, of which 7 were in the rigid bronchoscopy group and 10 were in the Hopkins telescopy group. The vital signs, including the partial pressure of carbon dioxide in expiratory gas and the heart rate, were stable in all cases.
  
  
  CONCLUSIONS
  Foreign body removal in infants via suspension laryngoscopy and Hopkins telescopy under general anesthesia with endotracheal intubation should be promoted, since it is relatively safe and easy for both anesthesiologists and otorhinolaryngologists to perform and has a remarkable success rate.
authors.affiliation: National Key Discipline of Otorhinolaryngology, Otorhinolaryngology Hospital, Otorhinolaryngology Institute Department of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
authors.forename: Wen-bin
authors.initials: WB
authors.lastname: Lei
authors.forename: Zhen-zhong
authors.initials: ZZ
authors.lastname: Su
authors.forename: Xiao-lin
authors.initials: XL
authors.lastname: Zhu
authors.forename: Guan-xia
authors.initials: GX
authors.lastname: Xiong
authors.forename: Li-ping
authors.initials: LP
authors.lastname: Chai
authors.forename: De-hua
authors.initials: DH
authors.lastname: Chen
authors.forename: Feng-hong
authors.initials: FH
authors.lastname: Chen
authors.forename: Xia
authors.initials: X
authors.lastname: Feng
authors.forename: Ke-xuan
authors.initials: KX
authors.lastname: Liu
authors.forename: Wei-ping
authors.initials: WP
authors.lastname: Wen
mesh_terms: D001980:Bronchi; D001999:Bronchoscopy; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D020704:Laryngoscopes; D007828:Laryngoscopy / Q000295:instrumentation / Q000379:methods; D008297:Male; D012189:Retrospective Studies; D014132:Trachea