title: Positive Pressure Bronchoscopy Technique: Case Report.
abstract: OBJECTIVE
  Foreign body aspiration into the tracheobronchial tree continues to be a challenging problem for otolaryngologists. This is especially true in patients with poor pulmonary reserve.
  
  
  METHODS
  We describe a novel technique in which an endotracheal sheathed bronchoscope is used as a means to provide positive pressure ventilation simultaneously during foreign body extraction.
  
  
  RESULTS
  This new technique afforded the bronchoscopist more time during retrieval of the foreign body where previous attempts were limited by rapid desaturations and the overall nature of the foreign body.
  
  
  CONCLUSIONS
  The endotracheal sheathed bronchoscope is a safe and efficacious technique for challenging airway foreign bodies complicated by a patient's limited pulmonary reserve.
authors: Division of Pediatric Otolaryngology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Deleware, USA Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA michael.b.hall@jefferson.edu.
authors: Michael B
authors: MB
authors: Hall
authors: Division of Pediatric Otolaryngology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Deleware, USA Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors: Douglas R
authors: DR
authors: Johnston
authors: Division of Pediatric Otolaryngology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Deleware, USA.
authors: Patrick
authors: P
authors: Barth
mesh_terms: D058109:Airway Management / Q000295:instrumentation / Q000379:methods; D001980:Bronchi; D020680:Bronchoscopes; D001999:Bronchoscopy / Q000295:instrumentation / Q000379:methods; D002648:Child; D005547:Foreign Bodies / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D053120:Respiratory Aspiration / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D012138:Respiratory Therapy / Q000295:instrumentation / Q000379:methods; D014132:Trachea; D016896:Treatment Outcome
keywords: airway foreign body; bronchoscopy; pediatric otolaryngology; positive pressure bronchoscopy