Assessment of Outcome of Bronchoscopy in Pediatric Patients With Suspected Foreign Body Aspiration Attending at Assiut University Children Hospital
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 75
- 主要终点
- Rate of Successful Foreign Body Removal
研究概览
简要总结
Outcome of Bronchoscopy in Pediatric patient with foreign body aspiration
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
盲法说明
Masking Description
入排标准
- 年龄范围
- 1 Day 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children less than 18 years with suspected foreign body aspiration
排除标准
- •children with congenital airway anomalies other than foreign body aspiration
研究组 & 干预措施
Rigid Bronchoscopy
Standard of care in most pediatric centers; performed under general anesthesia to visualize and remove FB. Gold standard for both diagnosis and treatment
干预措施: Rigid bronchoscopy (Procedure)
Flexible Bronchoscop
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.
干预措施: Flexible scope (Procedure)
Combined Approach
Initial flexible bronchoscopy for diagnosis and airway inspection, followed by rigid bronchoscopy for removal if needed. Compare efficiency and safety of combined method.
干预措施: Combined Flexible-Rigid Bronchoscopy (Procedure)
Imaging-Guided Approach
High-resolution CT or virtual bronchoscopy first; bronchoscopy only if imaging suggests FB. Assess if imaging can reduce unnecessary bronchoscopies.
干预措施: Imaging-Guided Bronchoscopy (Procedure)
结局指标
主要结局
Rate of Successful Foreign Body Removal
时间窗: During bronchoscopy procedure (intra-operative, within 24 hours of intervention).
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.
次要结局
- Incidence of procedure-related complications (within 24 hours).(Intra-procedure and up to 24 hours post-procedure.)
研究者
Marsail Refat Kadry
Resident
Assiut University