Outcome of Bronchoscopy in FB Aspiration

Assiut University

Status: Not yet enrolling

Conditions: Foreign Body Aspiration

Treatments: Procedure: Combined Flexible-Rigid Bronchoscopy; Procedure: Rigid bronchoscopy; Procedure: Imaging-Guided Bronchoscopy; Procedure: Flexible scope

Study type: Interventional

Funder types: Other

Identifiers

NCT07150689

FB bronchoscopy

Details and patient eligibility

About

Outcome of Bronchoscopy in Pediatric patient with foreign body aspiration

Enrollment: 75 estimated patients

Sex: All

Ages: 1 day to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• children less than 18 years with suspected foreign body aspiration

Exclusion criteria

• children with congenital airway anomalies other than foreign body aspiration

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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75 participants in 4 patient groups

Rigid Bronchoscopy

Active Comparator group

Description:

Standard of care in most pediatric centers; performed under general anesthesia to visualize and remove FB. Gold standard for both diagnosis and treatment

Treatment:

Procedure: Rigid bronchoscopy

Flexible Bronchoscop

Experimental group

Description:

Flexible scope used for diagnosis and sometimes removal (especially in distal airways or when FB is small). Evaluate if less invasive flexible bronchoscopy can be effective.

Treatment:

Procedure: Flexible scope

Combined Approach

Experimental group

Description:

Initial flexible bronchoscopy for diagnosis and airway inspection, followed by rigid bronchoscopy for removal if needed. Compare efficiency and safety of combined method.

Treatment:

Procedure: Combined Flexible-Rigid Bronchoscopy

Imaging-Guided Approach

Experimental group

Description:

High-resolution CT or virtual bronchoscopy first; bronchoscopy only if imaging suggests FB. Assess if imaging can reduce unnecessary bronchoscopies.

Treatment:

Procedure: Imaging-Guided Bronchoscopy