Foreign body aspiration in children: the effects of delayed diagnosis

Shlizerman, Lev; Mazzawi, Salim; Rakover, Yosef; Ashkenazi, Dror

doi:10.1016/j.amjoto.2009.03.007

Cited by 78 publications

(80 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bronchoscopic procedure is the gold standard method for the diagnosis and treatment of foreign body aspiration (12,13). Despite the progress in bronchoscopic techniques in recent years, the removal of foreign bodies from the airway by rigid bronchoscopy is still widely used (5,14).…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration in Adult: Analysis of 28 Cases

Özdemir¹,

Sökücü²,

Karasulu³

et al. 2015

Eurasian J Pulmonol

View full text Add to dashboard Cite

Objective: The aim of our study is to discuss our experience with foreign body aspirations in our Interventional Pulmonology Unit. Methods:Patients who were referred to our Interventional Pulmonology Unit between January 2008 to November 2014 for foreign body aspiration and whom foreign body was sentential by intervention were included. Data were used from a retrospective analysis. Results:From the 28 patients, 64.3% of them were women and mean age of the patients were 43.5±21.54 years. Most common presenting symptom was cough (96.3%). Half of the patients were presented in 24 hours after the procedure. From the 5 patients that have undergone diagnostic broncoscopy by fiberoptic bronchoscope, foreign body was removed in 3 of them. Rigid bronchoscopy was done in 25 (89.3%) of the patients. In 3 of the patients foreign body cannot be detected by bronchoscopy and removed by surgery. 67.9% of the foreign bodies that were removed were inorganic in nature. Conclusion:Bronchoscopic approaches are effective to decrease mortality and morbidity for the diagnosis and treatment of foreign body aspirations in adults. Rigid bronchoscopic approach should be the first choice in foreign body aspirations but fiberoptic bronchoscopy can also be used in selective cases by experienced physicians.

show abstract

Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration in Adult: Analysis of 28 Cases

Özdemir¹,

Sökücü²,

Karasulu³

et al. 2015

Eurasian J Pulmonol

View full text Add to dashboard Cite

show abstract

“…(3,16) Virtually all aspirated FBs can be extracted by bronchoscopy, with success rates above 98%. Rigid bronchoscopy remains the standard procedure for the removal of FBs (9,17) and has various advantages over flexible bronchoscopy.…”

Section: Methodsmentioning

confidence: 99%

Broncoscopia flexível como primeira opção para a remoção de corpo estranho das vias aéreas em adultos

et al. 2012

View full text Add to dashboard Cite

Objective: To determine the success rate of flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults. Methods: This was a retrospective study of all adult patients (over 18 years of age) with foreign body aspiration submitted to bronchoscopy between January of 2009 and January of 2011 at the University of São Paulo School of Medicine Hospital das Clínicas, located in São Paulo, Brazil. Results:The study sample comprised 40 adult patients, with a mean age of 52 years (range, 18-88 years). The median time of permanence of the foreign body in the airway was 15 days (range, 12 h to 10 years). All of the patients first underwent diagnostic flexible bronchoscopy. Foreign bodies were successfully removed with flexible bronchoscopy in 33 (82.5%) of the patients. In 1 patient, a metal object lodged in the distal bronchial tree required the use of fluoroscopy. Six patients (15%) required rigid bronchoscopy due to tracheal foreign bodyinduced dyspnea, in 2, and because the foreign body was too large for the flexible forceps, in 4. Bronchoscopy failed in 1 patient, who therefore required surgical bronchotomy. Conclusions: Although rigid bronchoscopy is considered the gold standard for the removal of foreign bodies from the airways, our experience showed that flexible bronchoscopy can be safely and effectively used in the diagnosis and treatment of stable adult patients.Keywords: Bronchoscopy; Foreign bodies; Airway obstruction; Airway management. ResumoObjetivo: Determinar a taxa de sucesso da broncoscopia flexível como primeira opção na remoção de corpos estranhos das vias aéreas em adultos. Métodos: Estudo retrospectivo de todos os pacientes adultos (acima de 18 anos) com aspiração de corpo estranho submetidos à broncoscopia no Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, em São Paulo (SP). Resultados: A amostra foi constituída por 40 pacientes adultos, com média de idade de 52 anos (variação: 18-88 anos). A mediana do tempo de permanência do corpo estranho na via aérea foi de 15 dias (variação: 12 h a 10 anos). Todos os pacientes foram submetidos primeiramente a broncoscopia flexível diagnóstica. A retirada do corpo estranho por meio de broncoscopia flexível foi bem-sucedida em 33 dos pacientes (82,5%). Em 1 paciente, um objeto metálico alojado na árvore brônquica distal requereu o uso de fluoroscopia. Seis pacientes (15%) foram submetidos à broncoscopia rígida devido a dispneia induzida por corpo estranho traqueal, em 2, e porque o corpo estranho era muito grande para as pinças flexíveis, em 4. A broncoscopia falhou em apenas 1 paciente, que portanto necessitou de broncotomia cirúrgica. Conclusões: Embora a broncoscopia rígida seja considerada o padrão ouro na remoção de corpos estranhos na via aérea, nossa experiência mostrou que a broncoscopia flexível pode ser utilizada segura e eficientemente no diagnóstico e tratamento de pacientes adultos estáveis.Descritores: Broncoscopia; Corpos estranhos; Obstrução das vias respiratórias; Manuse...

show abstract

“…Mortality directly related to the procedure is rare [81]. Complications were found to be more frequent in children with delayed diagnosis and intervention [83].…”

Section: Boxmentioning

confidence: 99%

“…when a caregiver visits the local doctor with a child with acute-onset breathing difficulties [171][172][173]. Recognising FBA as a potential cause of breathing difficulties and performing a bronchoscopy within 24 h of symptom onset reduces the risk of complications [83,174]. As a preventative strategy, primary care professionals are ideally placed to educate parents about FBA from birth and during early childhood [173].…”

Section: Foreign Body Removalmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

View full text Add to dashboard Cite

Paediatric airway endoscopy is accepted as a diagnostic and therapeutic procedure, with an expanding number of indications and applications in children. The aim of this European Respiratory Society task force was to produce a statement on interventional bronchoscopy in children, describing the evidence available at present and current clinical practice, and identifying areas deserving further investigation. The multidisciplinary task force panel performed a systematic review of the literature, focusing on whole lung lavage, transbronchial and endobronchial biopsy, transbronchial needle aspiration with endobronchial ultrasound, foreign body extraction, balloon dilation and occlusion, laser-assisted procedures, usage of airway stents, microdebriders, cryotherapy, endoscopic intubation, application of drugs and other liquids, and caregiver perspectives. There is a scarcity of published evidence in this field, and in many cases the task force had to resort to the collective clinical experience of the committee to develop this statement. The highlighted gaps in knowledge underline the need for further research and serve as a call to paediatric bronchoscopists to work together in multicentre collaborations, for the benefit of children with airway disorders.

show abstract

Foreign body aspiration in children: the effects of delayed diagnosis

Cited by 78 publications

References 11 publications

Foreign Body Aspiration in Adult: Analysis of 28 Cases

Foreign Body Aspiration in Adult: Analysis of 28 Cases

Broncoscopia flexível como primeira opção para a remoção de corpo estranho das vias aéreas em adultos

ERS statement: interventional bronchoscopy in children

Contact Info

Product

Resources

About