Bronchoscopic Extraction of Aspirated Foreign Bodies in Children

Kosloske, Ann M.

doi:10.1001/archpedi.1982.03970460054011

Cited by 37 publications

(27 citation statements)

References 4 publications

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“…8,19 In the present series, the incidence of laryngospasm was 0.65% which was lower than that in the study by Tomaske et al 10 We speculate that the low laryngospasm rate in our series may be due to the suitable depth of anesthesia controlled by propofolremifentanil and reduction of stress response by the muscle relaxant technique (rocuronium). Furthermore, propofol can also reduce the laryngeal reaction to stimulation, 20 and remifentanil can relieve coughing.…”

contrasting

confidence: 67%

“…The muscle-relaxant technique can provide an even and adequate depth of anesthesia for rigid bronchoscopy and decrease anesthetic effects on cardiac output. 7,8 In addition, positive-pressure ventilation may decrease atelectasis, improve oxygenation and overcome increased airway resistance that occurs when a telescope is used.…”

Section: O R I G I N a L A R T I C L Ementioning

confidence: 99%

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Anesthesia with propofol‐remifentanil combined with rocuronium for bronchial foreign body removal in children: Experience of 2 886 cases

Qiu

et al. 2018

Pediatric Investigation

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Importance: The appropriate anesthetic method can reduce the complications of children with tracheal foreign body and reduce the mortality rate of children. What kind of anesthetic method to choose has always been the focus of debate. Purpose: To evaluate the efficacy and safety of anesthesia with propofolremifentanil combined with rocuronium for foreign body aspiration (FBA) removal with the positive-pressure ventilation technique. Methods: Medical records of patients who underwent bronchoscopy for evaluation of FBA in our unit from January 2015 to January 2018 were retrospectively reviewed. Demographic data (age and sex), nature of foreign body and location, complications, length of hospital stay and outcome were analyzed. Results: A total of 2 886 children were included in this study. The median age was 24 months (8 months to 10 years). FBA was detected and removed in 95.6% of patients. The average operation time was 17 ± 5 min and average length of hospital stay was 2 days. Observed peri-interventional complications included desaturation (n = 66), laryngospasm (n = 19), laryngeal or subglottic edema (n = 15), irritating cough (n = 3), body movement (n = 76) and pneumonia (n = 206). No deaths occurred during hospitalization or follow-up in this series. Interpretation: Anesthesia with propofol-remifentanil combined with rocuronium under positive-pressure ventilation is an effective and safe technique during FBA removal in children.

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contrasting

confidence: 67%

Section: O R I G I N a L A R T I C L Ementioning

confidence: 99%

Anesthesia with propofol‐remifentanil combined with rocuronium for bronchial foreign body removal in children: Experience of 2 886 cases

Qiu

et al. 2018

Pediatric Investigation

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“…But in case of very small children both sided bronchus are equally angulated. Two thirds of aspirated objects lodge in main stem bronchi rather than in the distal bronch [9][10].…”

Section: Discussionmentioning

confidence: 99%

Inhalation of Pin - A Rare Case Report

Kar

Das

Sen

et al. 2015

IJPPE

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Abstract:A boy aged 1year presented with persistent cough, sputum and fever for last two months which is did not subside in spite of empirical mediacal therapy. For last 15 days symptoms started to aggravate and not responding to medical management. Chest X-ray showed a pin in the right main bronchus with more radiolucency of right lung. CT scan of chest revealed radiodense linear opacity in the right lower lobe primary and secondary bronchus with partial collapse consolidation of right lower lobe medial basal and lateral basal segment. Rigid bronchoscopic removal was tried but failed. Ultimately thoracotomy was done to remove the foreign body.

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“…[1][2][3][4][5][6] Inhalation of a FB is usually accompanied by acute severe coughing, stridor, wheezing, and respiratory distress. This acute episode may escape the notice of parents, and the problem may manifest as an insidious chronic pulmonary problem, the cause of which may remain occult for a long period.…”

mentioning

confidence: 99%

“…This acute episode may escape the notice of parents, and the problem may manifest as an insidious chronic pulmonary problem, the cause of which may remain occult for a long period. [3,7] In our study, we aimed to show an unusual case of FB aspiration from the Van area.…”

mentioning

confidence: 99%

Late recognized nail aspiration in a child: case report

Çobanoğlu¹,

Can²,

Birincioğlu³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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4Çocuklarda 0-3 yaş arası yabancı cisim (YC) aspirasyonu sık görülmektedir. Kız olgu, 4 ay önce ani başlayan öksü-rük, ateş ve balgam çıkarma şikayetiyle bir sağlık merkezinde akut bronşit tanısı ile iki kez tedavi edildi. Şikayeti-nin sürmesi üzerine, çekilen akciğer grafisinde özofagus-ta yabancı cisim şüphesi ile Göğüs Cerrahisi Kliniğimize sevk edilen olguya yapılan özofagoskopide YC görülme-di. Çekilen akciğer yan grafisinde, keskin ucu trakea orta hatta, yuvarlak ucu sağ hemitoraksa yönelmiş YC saptandı. Rijit bronkoskopi ile çıkarılamayan YC, torakotomi ve bronkotomi yöntemiyle genel anestezi altında çıkarıldı. YC 6 cm boyunda çivi idi. Bu sunum, çocukluk çağındaki YC aspirasyonlarının çeşitliliğini, hekimlerin sağlık kurumları-na inatçı öksürük şikayeti ile başvuran çocuklarda YC aspirasyonu olasılığına her zaman dikkat etmeleri gerektiği-ni ve ebeveyn ihmalini göstermek amacıyla hazırlanmıştır.Anahtar Sözcükler: Aspirasyon; adli olgu; yabancı cisim.Foreign body (FB) aspiration is common in children aged 0-3 years. Our case, a 2.5-year-old girl, presented with sudden onset of cough, fever and sputum; she had been treated twice for acute bronchitis four months ago. Resisting complaints led to an esophagoscopic examination in our Chest Surgery Clinic after a chest X-ray suggested FB in the esophagus, but no FB could be detected. A lateral chest X-ray revealed a FB with its sharp end targeting the trachea and its round end to the right hemithorax. Removal of the FB with forceps was not possible during rigid bronchoscopy. The FB was removed by thoracotomy and bronchotomy under general anesthesia. The removed FB was a nail measuring 6 cm in length. This case report should serve to stress the diversity of FB aspirations in childhood, the role of parental neglect, and that physicians should be aware of the possibility of FB in children with persistent cough.

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Bronchoscopic Extraction of Aspirated Foreign Bodies in Children

Cited by 37 publications

References 4 publications

Anesthesia with propofol‐remifentanil combined with rocuronium for bronchial foreign body removal in children: Experience of 2 886 cases

Anesthesia with propofol‐remifentanil combined with rocuronium for bronchial foreign body removal in children: Experience of 2 886 cases

Inhalation of Pin - A Rare Case Report

Late recognized nail aspiration in a child: case report

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