Best management of ultra-small tracheobronchial foreign bodies in neonates

Jasinovic, Tin; Thamboo, Andrew; Osiovich, Horacio; Scheepers, Louis; Robinson, Ashley; Ludemann, Jeffrey P.

doi:10.1016/j.ijporl.2012.12.004

Cited by 7 publications

(7 citation statements)

References 15 publications

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“…In infants, the use of optical forceps without rigid bronchoscope is still questionable. 15 For this technique, the risk with the greatest potential is laryngospasm; the younger the infant, the greater the risk. 15…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration in Infants and Older Children: A Comparative Study

et al. 2019

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Background: Foreign body aspiration (FBA) is a major cause of morbidity and mortality in children. It is a preventable event that predominates in preschool age. The signs and symptoms mimic respiratory diseases common in the same age-group. We compared FBA in infants to FBA in older children. Methods: Retrospective analysis of all the cases of suspected FBA of children under the age of 18 years hospitalized at one medical center during 2002 to 2016. We analyzed the data according to age: up to 1 year (infants) and 1 to 18 years. Results: One hundred seventy-five children with suspected FBA were admitted; of whom, 27 (15%) were infants and 148 (85%) were older children (age 1-18 years). For the 2 age groups, adults witnessed 85% and 73%, respectively, of the incidents ( P = .4). In the neonate group, 48% presented with normal X-ray findings compared to only 20% in the older group; 15% of the older group had a positive chest X-ray for a foreign body, while none had such in the infants’ group ( P = .01). For the 2 age groups, the majority of the FBs found were from organic origin. About half of the patients were diagnosed and managed within 24 hours of the aspiration event. In 10%, repeated bronchoscopy was performed due to a retained FB remnant. In a multivariate analysis, signs and symptoms ( P < .05), location of the FB ( P < .001), and witnessed aspiration ( P < .001) were independent prognostic factors for the length of hospitalization. Conclusion: Foreign body aspiration is not uncommon in young infants; the management is challenging due to small airways, the need to use smaller bronchoscopes, and the lack of working channel forces in pediatric bronchoscopes.

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Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration in Infants and Older Children: A Comparative Study

et al. 2019

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“…To date, lamp of laryngoscope, sheath of tracheal tube style, aspiration catheter tip (usually closed tracheal suction system) and very rarely endotracheal tube in the airway was reported in neonates needing artificial respiration [1,2,[4][5][6][7]. Herein, we present a premature hypotonic infant in need of CMV and a fragment of suction catheter was removed by rigid bronchoscopy.…”

Section: Discussionmentioning

confidence: 99%

Foreign body in the airway of a premature infant: a fragment of suction catheter revisited

YAZICI¹,

Bilgin²,

Ünal³

2019

Otorhinolaryngol Head Neck Sur

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Paediatric foreign body in the airway is usually seen in children aged 1-3 years and cause sudden respiratory distress. If the diagnosis is delayed or untreated, it may result in serious morbidity or even mortality. In new-borns, foreign body in the airways is rarely seen and it is usually formula or breast milk. We presented a premature hypotonic infant in need of mechanical ventilation transported to our unit on 49th day for tracheotomy. We identified left pulmonary atelectasis and a plastic tube fragment was removed from the left main bronchus by rigid bronchoscopy.

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“…Reported foreign bodies in neonates are mostly related to babies receiving ventilation and aspiration of pieces of medical devices used during the care of these babies. [3][4][5][6] remove part of a ruptured catheter from the left main bronchus in a 30-week gestation infant. 4 Meneghetti et al reported the rupture of a suction catheter in a 29-week extremely low birth weight infant, located in the distal trachea.…”

mentioning

confidence: 99%

“…[3][4][5][6] remove part of a ruptured catheter from the left main bronchus in a 30-week gestation infant. 4 Meneghetti et al reported the rupture of a suction catheter in a 29-week extremely low birth weight infant, located in the distal trachea. The tracheal tube (2.5 mm internal diameter) was removed under continuous suction making it possible to remove the 10 cm fragment of the catheter.…”

mentioning

confidence: 99%

Removal of bronchial foreign body in a ventilated preterm infant with flexible bronchoscopy

Goussard,

van Wyk,

Venkatakrishna

et al. 2023

Pediatric Pulmonology

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Best management of ultra-small tracheobronchial foreign bodies in neonates

Cited by 7 publications

References 15 publications

Foreign Body Aspiration in Infants and Older Children: A Comparative Study

Foreign Body Aspiration in Infants and Older Children: A Comparative Study

Foreign body in the airway of a premature infant: a fragment of suction catheter revisited

Removal of bronchial foreign body in a ventilated preterm infant with flexible bronchoscopy

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