A novel technique to remove a foreign body in a distal bronchus in a child

Yamauchi, Yusuke; Miyazu, Mitsunori

doi:10.1016/j.jclinane.2021.110513

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…As the choice of anesthesia and mode of ventilation (spontaneous versus controlled) during bronchoscopic removal of AFBs are currently debated, the efficacy of newer sedatives such as fospropofol, remifentanil, and dexmedetomidine during bronchoscopy are being evaluated 12,13 . Additionally, new surgical techniques for removal of AFBs such as endoscope‐assisted rigid bronchoscopy, flexible bronchoscopy, flexible bronchoscopy through a rigid bronchoscope, and flexible bronchoscopy aided with a suction tube are being developed and studied 14–17 …”

Section: Discussionmentioning

confidence: 99%

“…12,13 Additionally, new surgical techniques for removal of AFBs such as endoscope-assisted rigid bronchoscopy, flexible bronchoscopy, flexible bronchoscopy through a rigid bronchoscope, and flexible bronchoscopy aided with a suction tube are being developed and studied. [14][15][16][17] Although NSQIP-P reports data in a large number of categories, this study is limited by the variables not reported in the database. It would have been useful to collect data on anesthetic techniques to determine their impact on adverse events.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Bronchoscopy for Airway Foreign Bodies in the ACS NSQIP‐P: Morbidity and Mortality 2014–2019

2022

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Objective Examine morbidity and mortality associated with bronchoscopy for pediatric airway foreign body (AFB). Identify factors associated with adverse events. Methods A retrospective analysis from 2014 to 2019 using the multicenter public data set from the American College of Surgeons National Surgical Quality Improvement Program‐ Pediatric. Patients under 18 who underwent bronchoscopy for AFB were identified. Demographics, comorbidities, perioperative events, length of stay, and complications were collected. Regression analysis was used to identify factors associated with adverse events. Results 2302 patients were included; 1427 (62%) males and 875 (38%) females. Mean age was 3.9 years. (95% CI 3.7–4.1). 2025 (88%) retained AFB as the postoperative diagnosis. Comorbidities included structural pulmonary abnormalities in 234 (10.5%), asthma in 149 (6.5%), and impaired cognitive status in 134 (5.8%). Most common complications were pneumonia in 19 (0.8%) and reintubation in 10 (0.4%). 10 (0.4%) had a prolonged LOS >30 days. Nine (0.4%) children died within 30 days of surgery; 7 (78%) were ventilated and 6 (67%) had CPR prior to surgery. 18 (0.8%) returned to OR and 15 (0.7%) were readmitted for related reasons. Linear regression showed an association between ASA class (β = 0.708, p < 0.001), operative time (β = 0.015, p = 0.013) and reintubation (β = 10.5, p < 0.001) with LOS. Time in the OR was associated with return to OR (β = .008, p = 0.004) through logistic regression. Conclusion Morbidity is low in children with AFB and mortality is usually associated with preoperative lifesaving maneuvers. Level of Evidence 4 Laryngoscope, 133:689–693, 2023

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pediatric Bronchoscopy for Airway Foreign Bodies in the ACS NSQIP‐P: Morbidity and Mortality 2014–2019

2022

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Magnet Aspiration Into the Distal Lung of a Pediatric Patient: A Case Report

Laxman,

Cervantes,

Cherian

et al. 2024

Cureus

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Foreign body (FB) aspiration is one of the most common life-threatening emergencies in children and one of the leading causes of mortality in the pediatric population. Most commonly, aspirated items are organic materials, such as nuts and seeds. Inorganic objects are usually plastic or metal. Symptoms of aspiration can vary depending on the location, area and amount of blockage, and object size and shape. Because of the difficult airway anatomy of children, a multidisciplinary approach - including otolaryngology, pulmonology, anesthesia, and general surgery - for the removal of airway FBs is necessary and prudent to avoid more invasive surgical involvement. This report discusses a nine-year-old male who aspirated two ball magnets, which became lodged in his tracheobronchial tree and required a multidisciplinary approach for removal.

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A novel technique to remove a foreign body in a distal bronchus in a child

Cited by 2 publications

References 5 publications

Pediatric Bronchoscopy for Airway Foreign Bodies in the ACS NSQIP‐P: Morbidity and Mortality 2014–2019

Pediatric Bronchoscopy for Airway Foreign Bodies in the ACS NSQIP‐P: Morbidity and Mortality 2014–2019

Magnet Aspiration Into the Distal Lung of a Pediatric Patient: A Case Report

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