Outcome of Bronchoscopy in FB Aspiration

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-18
SponsorAssiut University

About this trial

Outcome of Bronchoscopy in Pediatric patient with foreign body aspiration

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

children less than 18 years with suspected foreign body aspiration

Disqualifiers

children with congenital airway anomalies other than foreign body aspiration

Trial design

Design model

Parallel

Treatments tested in this trial

  • Rigid bronchoscopy

    Procedure/Surgery

    Participants will undergo rigid bronchoscopy under general anesthesia using an age-appropriate rigid bronchoscope. The airway will be systematically inspected. Any identified foreign body will be removed using appropriate retrieval devices (optical forceps, retrieval basket, suction). Post-removal, the airway will be re-examined to confirm clearance and detect trauma.

  • Flexible scope

    Procedure/Surgery

    Participants will undergo flexible fiberoptic bronchoscopy under sedation or general anesthesia. The bronchoscope will be inserted transorally or transnasally. The airway will be inspected, and foreign body retrieval attempted using retrieval baskets, forceps, or cryoprobe

  • Combined Flexible-Rigid Bronchoscopy

    Procedure/Surgery

    Initial flexible bronchoscopy will be performed to locate the foreign body and inspect distal airways, followed by rigid bronchoscopy for definitive removal.

  • Imaging-Guided Bronchoscopy

    Procedure/Surgery

    Participants will undergo pre-procedure high-resolution CT or virtual bronchoscopy. Based on imaging, either rigid or flexible bronchoscopy will be performed, targeting the suspected location to reduce procedure time.

Treatment groups

75 Participants
are divided into 4 treatment groups
Group A: Rigid BronchoscopyActive comparator 1 intervention
Group B: Flexible BronchoscopExperimental treatment 1 intervention
Group C: Combined ApproachExperimental treatment 1 intervention
Group D: Imaging-Guided ApproachExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Rate of Successful Foreign Body Removal

The proportion of patients in whom the foreign body is completely removed during the initial bronchoscopy procedure, as confirmed by direct visualization and/or post-procedure imaging.

Time frame
During bronchoscopy procedure (intra-operative, within 24 hours of intervention).

Secondary outcomes

1

Incidence of procedure-related complications (within 24 hours).

Number of patients who experience complications such as hypoxia (SpO₂ \< 90%), bleeding, airway trauma, pneumothorax, or cardiac arrhythmia.

Time frame
Intra-procedure and up to 24 hours post-procedure.

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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