Study of Fibrobronchoscopy and Probe Aspiration for Aspiration Pneumonia Treatment in the Emergency Department

What this Trial Is About

This observational pilot study focuses on adult patients diagnosed with aspiration pneumonia who require aspiration of secretions or ingesta in the Emergency Department. The study aims to evaluate and compare the usefulness and adverse events of two aspiration methods laryngotracheal aspiration with a probe and aspiration using fibrobronchoscopy. Researchers will create a registry to collect patient data and assess clinical outcomes related to these procedures. The study involves two main procedures. The first is laryngotracheal aspiration using a blind probe, where a soft catheter is inserted through the nostril to suction secretions from the larynx and trachea in cycles lasting 3-5 seconds. The second procedure uses a bronchoscope inserted through the nostril or mouth to visually inspect the airways and aspirate secretions intermittently to avoid hypoxia, also in 3-5 second cycles. These procedures are performed in the Emergency Department as determined by the attending physician. Participants will be monitored for various outcomes, including length of hospital stay up to three months and mortality within 30 days of Emergency Department admission. Respiratory parameters, rates of non-invasive ventilation or intubation, admission to intensive or high dependency care units, and procedure-related complications will also be recorded. The total study duration is three years, starting after ethical approval, during which clinical data and patient outcomes will be closely observed.

FBS-ASaP: Fibrobronchoscopy in ASpiration Pneumonia in the Emergency Department