Rigid bronchoscopy: a consultant survey

Author:

Mowat A1,Balbirsingh V1,Sandhar P1,Parekh M1,Amlani A1,Young B2,Giblett N1

Affiliation:

1. The Royal Wolverhampton NHS Trust, UK

2. Maidstone and Tunbridge Wells NHS Trust, UK

Abstract

Introduction Inhalation of foreign bodies represents a potentially fatal emergency in both adults and children. Chest x-ray, in isolation, is neither sensitive nor specific. Rigid bronchoscopy represents the gold standard to diagnose and retrieve paediatric foreign bodies. Cases are encountered infrequently, creating anxieties about their management. Little is known about the confidence in, and maintenance of, rigid bronchoscopy skills by ear, nose and throat teams. Methods A 15-question survey was completed by 50 practising otolaryngology consultants in England. Results Results show that almost 40% of otolaryngology consultants covering rigid bronchoscopy have not performed bronchoscopy in more than 5 years. Consultants raised concerns about the anaesthetic support and the speed of equipment assembly. Questions on clinical practice showed disparities in practice in the same scenario. Conclusions The authors advocate addressing many of the issues raised by the study with a greater availability of simulation courses and regular scheduled intradepartmental teaching days for all professionals involved. National guidelines on criteria for transfer to tertiary centres would improve the consistency of practice.

Publisher

Royal College of Surgeons of England

Subject

General Medicine,Surgery

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