Broncoscopia en población infantil tras aspiración de cuerpo extraño

Blanco, Mercedes Álvarez-Buylla; Morán, Adolfo; Paredes, Ignacio Álvarez; Vidal, José Martı́nez

doi:10.1016/s0001-6519(08)73290-4

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…It is most often observed in children between 1 to 3 years old [1] due to incomplete dentition (lack of cusped molars), immature swallowing coordination, tendency to be distracted when eating (e.g., playing or running), and the habit of putting objects into their mouths. [2–10] The main symptoms of FBA are cough, choking, wheeze, stridor, and dyspnea. The most frequent signs were diminished or obviously weakened breath sound.…”

Section: Discussionmentioning

confidence: 99%

Importance of patient history in diagnosis of foreign body aspiration in children

Cui¹,

Cui²,

Yu³

et al. 2019

Medicine

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Rationale:Accidental tracheobronchial foreign body aspiration (FBA) is one of the diseases with the highest morbidity and mortality in early childhood. A history of aspiration is very important for diagnosis, as sometimes there are no abnormalities in the physical examination of the patient. Parental negligence and inappropriate treatment may be important reasons for the delay in diagnosis. We describe 2 cases of misdiagnosed children with an unclear history of aspiration.Patient concerns:A 5-year-old boy, who fell out of bed when sucking pistachios and landed on his neck, was initially diagnosed as a closed injury of the larynx. An 18-month-old girl, who developed a cough and difficulty breathing after she fell to the ground surrounded by many corn grains.Diagnosis:Bronchoscopy examination confirmed the diagnosis of tracheobronchial foreign bodies.Interventions:The foreign bodies were removed by bronchoscopy examination.Outcomes:Both patients were discharged after removal of the foreign bodies and antibiotic treatment.Lessons:Aspiration history is crucial for the correct diagnosis of FBA, and lack of history may lead to the misdiagnosis of FBA. Parents should be educated to increase their awareness of tracheobronchial FBA, and avoid providing their children with small objects that can potentially block the airways. When FBA is suspected, the child should be sent to a hospital immediately. Diagnostic rigid bronchoscopy is recommended.

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Section: Discussionmentioning

confidence: 99%

Importance of patient history in diagnosis of foreign body aspiration in children

Cui¹,

Cui²,

Yu³

et al. 2019

Medicine

View full text Add to dashboard Cite

show abstract

“…Con menor frecuencia son causa de aspiración otro tipo de alimentos, así como una diversidad de objetos inorgánicos (normalmente pedazos de juguetes, globos, piedras, etc.) [1][2][3][4][5][6]14 . En este sentido, un estudio realizado en Estados Unidos con relación a 17.537 episodios de sofocación no fatales en niños menores de 14 años, se encontró que el 59,5% estaban relacionados con sustancias alimentarias, el 31,4% fueron no alimentarias y en el 9,1% el origen fue desconocido 12 .…”

Section: Epidemiologíaunclassified

“…UU., previo a la sistematización de la broncoscopia, la mortalidad estimada era del 50%. Tras las mejoras en los materiales y técnicas endoscópicas y anestésicas, la mortalidad ha disminuido hasta cerca del 1% 2,4,18 . A pesar de ello, se estima que en EE.…”

Section: E3unclassified

“…Por ello es importante promover entre la población general una serie de medidas preventivas y de actuación ante la sospecha de obstrucción mecánica de la vía aérea. Es fundamental la adecuada educación y concienciación de la población para prevenir la aspiración de cuerpo extraño; los padres deben ser conscientes del riesgo vital de la aspiración y su alta frecuencia en niños pequeños, y conocer medidas mínimas para evitarla [4][5][6] .…”

Section: Introductionunclassified

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