Food choking hazards in children

Sidell, Douglas; Kim, Irene A.; Coker, Tumaini R.; Moreno, Candice; Shapiro, Nina L.

doi:10.1016/j.ijporl.2013.09.005

Cited by 60 publications

(83 citation statements)

References 18 publications

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“…With regard to the type of foreign body in relation to complications, results are more heterogeneous in the literature. A review of 72 articles demonstrated that the majority (94%) of reported foreign bodies were food items . The size and shape of the object also bears considerable implications: cylindrical and spherical items can occlude the airway and pose challenges in retrieval .…”

Section: Discussionmentioning

confidence: 99%

“…Foreign body aspiration (FBA) is one of the most common emergencies in the pediatric population and can result in significant morbidity and even mortality . In 2000, ingestion or aspiration of a foreign body was responsible for more than 17 thousand emergency department visits in children younger than 14 years in the United States . Death caused by suffocation following FBA is the fifth most common cause of unintentional injury mortality in the United States and the leading cause of unintentional injury mortality in children younger than 1 year .…”

Section: Introductionmentioning

confidence: 99%

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Predictors of complicated airway foreign body extraction

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of complicated airway foreign body extraction

et al. 2017

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“…Most of the aspirated objects consist of organic materials, which can vary according to the residential locality of the patient, but often consist of nuts, seeds, and legumes. Materials such as gelatinous snacks that completely obstruct the small cylindrical airways and some types of small toys are exceedingly dangerous (10). In contrast to the inorganic foreign bodies, such as toy parts, pen caps or pins, organic foreign bodies are more inducive to inflammatory reactions and symptoms of fever and pneumonia are observed more frequently (7).…”

Section: Clinical Presentation and Diagnosismentioning

confidence: 99%

“…Pneumonia, atelectasis and emphysema are the most frequently observed complications, but laryngeal oedema, complete airway obstruction secondary to dislodged foreign body during coughing or removal, failure to remove the object, hypoxia, hypercarbia, bronchospasm, bradycardia, regurgitation and aspiration of gastric contents, pneumothorax, pneumomediastinum, lung abscess, tracheal laceration, cardiac dysrhythmias and cardiac arrest may also be observed (6,7,24). In delayed diagnosis cases bronchiectasis and irreversible pulmonary changes may develop (10,30). Therefore, early diagnosis and early intervention are highly important.…”

Section: Complicationsmentioning

confidence: 99%

The anaesthetic consideration of tracheobronchial foreign body aspiration in children

Kendigelen

2016

J. Thorac. Dis.

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Cases of tracheobronchial foreign body aspiration are frequently encountered emergency cases of childhood; and, delays in its recognition and treatment do result in serious morbidity and mortality.Diagnosis mainly relies on taking history which should indicate what the foreign body is, when it has been aspirated and where it is located. Belated consultation can cause misdiagnosis with the mixing of the symptoms and data with those of other pathologies common to childhood and further delays in the correct diagnosis. Bronchoscopy is required for the differential diagnosis of suspected tracheobronchial foreign body aspiration in order to eliminate other common pediatric respiratory concerns. Given the shared use of the airways by the surgeon and the anaesthesiologist, bronchoscopy is a challenging procedure requiring experienced teams with an efficient method of intercommunication, and also well planning of the anaesthesia and bronchoscopy ahead of the procedures. Despite the recent popularisation of the fiberoptic brochoscopes , the rigid bronchoscopy remains to be used commonly and is regarded to provide the gold standard technique. There have been reports in the literature on the uses of inhalation and/or intravenous (IV) anaesthesia and spontaneous or controlled ventilation methods without any demonstration of the superiority of one technique over the other. The most suitable methods of anaesthesia and ventilation would be those that reduce the risks of complications, morbidity and mortality; and, preventive measures should be taken with priority against childhood cases of tracheobronchial foreign body aspiration.

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“…In Japan, 163 cases of foreign body aspiration were identified during a 2 year period . The incidence appears to be twice as high in boys, and is seen more frequently in children under 6 years of age, with a peak incidence between the ages of 1 and 3 years . Although aspirated foreign bodies range from food to plastic toys, food was the most frequently identified cause .…”

mentioning

confidence: 99%

Pediatric autopsy case of asphyxia due to salmon egg (ikura) aspiration

Takamiya

Niitsu

Saigusa

et al. 2016

Pediatrics International

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Here we report an autopsy case of asphyxia due to aspiration of a salmon egg (ikura) into the airway. The patient was a 19-month-old girl. During breakfast, she put salmon eggs into her mouth, and began to walk. She slipped, fell down, and collapsed. She was pronounced dead following 2 h of resuscitation. The body was autopsied 28 h after death. The gastric contents consisted of rice, orange sections, and white salmon eggs. The lungs were deeply congested and over-inflated. In the right lung, areas of atelectasis in the upper and middle lobes were seen. A yellow salmon egg (8 mm in diameter) was found in the trachea. Although fish eggs are consumed throughout the world, reports of this sort are limited. The aspiration of fish eggs is under-acknowledged and underreported. The importance of preventive measures needs to be emphasized to parents and caregivers.

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Food choking hazards in children

Cited by 60 publications

References 18 publications

Predictors of complicated airway foreign body extraction

Predictors of complicated airway foreign body extraction

The anaesthetic consideration of tracheobronchial foreign body aspiration in children

Pediatric autopsy case of asphyxia due to salmon egg (ikura) aspiration

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