M.L. SHTEYNER^1,2, Yu.I. BIKTAGIROV¹, A.V. ZHESTKOV¹, E.A. KORYMASOV¹, E.P. KRIVOSHCHEKOV¹

 ¹ Samara State Medical University of the Ministry of Health of the Russian Federation, 89 Chapaevskaya Str., Samara, Russian Federation 443099

 ²Samara City Hospital No. 4, 125 Mivherina Str., Samara, Russian Federation 443056

 Contact details:

 Shteyner M.L. — D. Med. Sc., Assistant Professor of the Department of Surgery with the course of endoscopy of the Institute for Professional Education, Endoscopist, tel. (+7846) 260-33-6, e-mail: gb4@mail.ru

Biktagirov Yu.I. — Cand. Med. Sc., Assistant Professor of the Department of Surgery of the Institute for Professional Education, Head of the course of endoscopy, tel. (+7846) 260-33-6, e-mail: gb4@mail.ru

Zhestkov A.V. — D. Med. Sc., Professor, Head of the Department of General and Clinical Microbiology, Immunology and Allergology, tel. (+7846) 260-33-6, e-mail: gb4@mail.ru

Korymasov E.A. — D. Med. Sc., Head of the Department of Surgery of the Institute of Professional Education, tel. (+7846) 260-33-6, e-mail: gb4@mail.ru

Krivoshchekov E.P. — D. Med. Sc., Professor of the Department of Surgery of Vocational Education, tel. (+7846) 260-33-6, e-mail: gb4@mail.ru

Received: December 1, 2017, accepted for printing: April 13, 2018

 Seven cases of foreign bodies removal from the tracheobronchial tree in patients with severe respiratory failure in the setting of chronic obstructive pulmonary disease were studied. In this case, transnasal bronchoscopy was combined with retrograde oral excretion of mobilized foreign bodies. This method allowed minimizing the time of bronchoscopy, avoiding additional irritation of the reflexogenic zone of the root of the tongue, reducing the dose of local anesthetics. At the same time, the proposed method requires a lot of personnel experience, complicates the use of a number of options for the respiratory protection of bronchoscopy, and applies significant requirements to the quality of the forcepts. The method can’t be recommended to be used in routine practice, but it can be considered as a possible alternative to traditional bronchoscopy in patients with severe respiratory failure.

 Key words: bronchoscopy, foreign bodies in the tracheobronchial tree, oral insertion of a bronchoscope, transnasal insertion of a bronchoscope, acute respiratory failure.

(For citing: Shteyner M.L., Biktagirov Yu.I., Zhestkov A.V., Korymasov E.A., Krivoshchekov E.P. An approach to the removal of foreign bodies from the tracheobronchial tree in patients with acute respiratory failure. Practical medicine. 2018)

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