TY - JOUR T1 - The efficacy of fiberoptic bronchoscopy via laryngeal mask airway in pediatric foreign bodies extraction JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - 4652 AU - Ashraf Madkour AU - Ahmed Elmansoury AU - Samar Sharkawy Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/4652.abstract N2 - The use of fiberoptic bronchoscopy (FOB) via laryngeal mask airway (LMA) in children allows the use of adult size bronchoscope with its graspingtools, thus it may aid in foreign body (FB) extraction.We aimed to evaluate the efficacy of FOB via LMA in pediatrics FB extraction. We prospectively recruited all children (≤ 16 years) presented or referred to Pulmonary Medicine Department, Ain Shams University Hospital with clinical suspicion of FB inhalation between June 2012 and June 2013. All the patients were subjected to FOB via LMA under general anesthesia. Rigid bronchoscopy (RB) was available to extract any FB failed to be removed. Of the 49 children suspected of having FBs, 41 FBs were identified in 28 boys and 13 girls with a mean age 5.9 years (9 months to 16 years). FBs were more often lodged in the right side than in the left one (48% vs. 38%) and with predominance of organic FBs (75.6%) mainly seeds (60.9 %). Successful extraction by current technique was in 34 out of 41 (82.9%) FBs identified. RB succeeded in extraction of 6 out of 7 FBs that failed to be removed and open thoracotomy was required in 1 case. Non-critical complications related to FOB via LMA included laryngeal edema, transient hypoxia, gastric distension,mild hemoptysis and fever occurred in 5,5,4,3 and 2 patients respectively. One critical complication (stridor) related to RB. In conclusion, FOB via LMA is safe and effective in pediatric FB retrieval under general anesthesia with RB backup. ER -