Routine Chest X-ray Post Rigid Bronchoscopy for Foreign Body Extraction: is it Necessary?

NCT06106503 | Unknown

• 1 other identifier: chest xray post bronchoscopy
• Study Type: interventional
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

Airway foreign body is one of the common emergencies. Its clinical presentation is variable, ranging from a clinically asymptomatic state to dire state of respiratory failure needing urgent attention and intervention. The gold standard for management is rigid bronchoscopy (RB) under general anaesthesia. Complications that can occur during removal of foreign body include bleeding, pneumothorax and rupture of tracheobronchial tree. Complication rates are higher during foreign body removal in children. Performance of routine post bronchoscopy chest radiography (CXR) results in an extremely low diagnostic yield but nevertheless is the common clinical practice prevailing today. It has previously been suggested that routine post bronchoscopy CXR could be avoided in asymptomatic patients.

Conditions

Foreign Body Aspiration

Outcome Measures

Primary Outcomes (1)

• chest x-ray post bronchoscopy.

  chest x-ray post bronchoscopy is not necessary unless there are signs or symptoms.

  2 years

Study Arms (2)

patients will not underwent chest x-ray

OTHER

Other: clinical examination

patients underwent chest x-ray

OTHER

patients underwent chest x-ray

Radiation: chest x-ray

Interventions

chest x-ray RADIATION

chest x-ray after rigid bronchoscopy for patient with foreign body inhalation

patients underwent chest x-ray

clinical examination OTHER

no investigations well be done unless needed

patients will not underwent chest x-ray

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All patients with strong clinical suspicion of foreign body in airway with a history of choking, cyanosis, difficulty in breathing.

You may not qualify if:

• Patients underwent esophagoscope.
• Patients refused to be enrolled in research.
• Patients suffering from evident complications during the procedure.

Sponsors & Collaborators

• Assiut University: lead

MeSH Terms

Conditions

Respiratory Aspiration

Interventions

X-Rays; Restraint, Physical

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Electromagnetic Radiation; Electromagnetic Phenomena; Magnetic Phenomena; Physical Phenomena; Radiation; Radiation, Ionizing; Behavior Control; Therapeutics; Immobilization; Investigative Techniques

Study Officials

• Mohamed ayaad, professor

  Director

  STUDY DIRECTOR

Central Study Contacts

Mohamed boudy, resident

CONTACT

02001003658357; mohamedmostafa614@gmail.com

Hussein Alkhayat, ass. professor

CONTACT

01005549653; dr_khayat@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor

Study Record Dates

• First Submitted: October 24, 2023
• First Posted: October 30, 2023
• Study Start: December 15, 2023
• Primary Completion: December 15, 2025
• Study Completion: December 30, 2025
• Last Updated: December 5, 2023

Record last verified: 2023-12