title: Best management of ultra-small tracheobronchial foreign bodies in neonates.
abstract: OBJECTIVE
  To develop (1) a practical and comprehensive algorithm of instruments and techniques available to treat neonates with tracheobronchial foreign bodies, based on the patient's subglottic diameter and (2) primary and secondary prevention strategies for neonatal tracheobronchial foreign bodies.
  
  
  METHODS
  (1) Analysis of the case of a severely premature infant who presented with the incidental radiological finding of a 2cm suction catheter tip, which, over a two week period, had migrated between her main bronchi; the foreign body was removed with a previously unreported combination of instruments: a 3French (F) flexible urological forceps through the side port of a 2.5mm rigid bronchoscope. (2) In vitro testing of typical foreign bodies and readily available endoscopic instruments.
  
  
  RESULTS
  We have developed a practical and comprehensive algorithm for the treatment of neonates with tracheobronchial foreign bodies, as well as primary and secondary prevention strategies.
  
  
  CONCLUSIONS
  The treatment algorithm and prevention strategies may reduce morbidity and mortality from neonatal tracheobronchial foreign bodies.
authors.affiliation: Division of Otolaryngology, British Columbia's Children's Hospital, Vancouver, Canada.
authors.forename: Tin
authors.initials: T
authors.lastname: Jasinovic
authors.forename: Andrew
authors.initials: A
authors.lastname: Thamboo
authors.forename: Horacio
authors.initials: H
authors.lastname: Osiovich
authors.forename: Louis
authors.initials: L
authors.lastname: Scheepers
authors.forename: Ashley
authors.initials: A
authors.lastname: Robinson
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Ludemann
mesh_terms: D001980:Bronchi / Q000293:injuries* / Q000601:surgery; D001999:Bronchoscopy / Q000379:methods*; D005547:Foreign Bodies / Q000601:surgery* / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D014132:Trachea / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome