Is inpatient admission necessary following removal of airway foreign bodies?

Andreoli, Steven; Kofmehl, Emma; Sobol, Steven E.

doi:10.1016/j.ijporl.2015.06.020

Cited by 9 publications

(3 citation statements)

References 8 publications

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“…However, it decreased to 35 mm Hg with adequate hyperventilation. Inpatient monitoring is advised in children with a complicated operative course; thus our patient was transferred to the intensive care unit.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management in a 1‐year‐old child undergoing removal of a large metal tracheobronchial foreign body

Ren

Jian-min

Zhong

2019

Pediatric Investigation

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Introduction Pediatric tracheobronchial foreign body aspiration can be a life‐threatening emergency, especially in young children because of their decreased respiratory reserve and smaller‐diameter airways. Case presentation We herein present a case in which a 1‐year‐old female child aspirated a 9‐cm long metal chain into the lower trachea and right main bronchus. The chain was removed via low tracheotomy and rigid bronchoscopy under general anesthesia. An intravenous anesthetic alone with a muscle relaxant was used to ensure an immobile airway during surgery instead of the more commonly used inhalation anesthetics with spontaneous ventilation. Conclusion The case re‐affirms that the removal of some large and irregular airway foreign bodies is a challenging procedure that requires a proper anesthetic plan and coordination with surgeons.

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Section: Discussionmentioning

confidence: 99%

Anesthetic management in a 1‐year‐old child undergoing removal of a large metal tracheobronchial foreign body

Ren

Jian-min

Zhong

2019

Pediatric Investigation

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“…Foreign body (FB) aspirations are situations that should be treated immediately due to its life-threatening status [1], and are most commonly seen in the pediatric age group [2]. The majority of the cases are children aged 3 years or below, and 7% of these children die due to aspiration [3,4]. The reasons of the high incidence rate in this age group are the fact that the molar teeth does not grind food items properly, speaking or playing while there is food in the mouth [5,6].…”

Section: Introductionmentioning

confidence: 99%

Pediatric foreign body aspirations: experience of 263 cases

Katrancioglu¹,

Karadayı²,

Şahin³

2018

Curr Thorac Surg

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Background: Foreign body (FB) aspiration is a serious clinical situation due to its life-threatening status and especially common in the childhood period. We aimed to present the diagnosis and treatment of foreign bodies in pediatric age group. Material and Methods: Files of 510 patients aged 16 years and below that underwent rigid bronchoscopy due to suspicion of FB aspiration between June 1994 and November 2017 were retrospectively reviewed. 263 cases were included to the study that underwent foreign body removal. The cases were assessed in terms of gender, age, type and localization of the foreign body, clinical complaint, radiological findings, treatment method, complication and mortality. Results: Among the patients 45.6% were male and 54.4% were female. The aspirated foreign bodies varied from dried nuts to plastic, from hijab needles to beads. The most aspirated foreign body were dried nuts. 51% of them were removed from the right main bronchus, 31.9% from the left main bronchus, and 17.1% from the trachea. 97.8% of the foreign bodies were removed via bronchoscope. Thoracotomy was performed in 6 cases since the foreign bodies were not extractable with a bronchoscope or due to developing complications. No mortality occurred. Conclusions: FB aspiration can lead to life-threatening complications in children aged 3 years or below. Bronchoscopy should be performed in all cases of foreign body aspiration, including suspicious cases. Notably, the bronchoscopy procedure should be carried out by a well-trained, experienced anesthesiologist-endoscopy team and with appropriate tools.

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“…El CEVA es un grave problema que se presenta en lactantes y preescolares, menos frecuentemente en adultos (20%), y que es potencialmente mortal [1][2][3][4] . Hasta el término de esta revisión continúa siendo la principal causa de muerte de origen otorrinolaringológico en Chile 5 , y el 7% de las muertes accidentales en menores de cuatro años en Estados Unidos 6 .…”

Section: Introductionunclassified

Cuerpo extraño bronquial: Experiencia de los últimos 18 años en Hospital Guillermo Grant Benavente, Concepción, Chile

2016

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Is inpatient admission necessary following removal of airway foreign bodies?

Cited by 9 publications

References 8 publications

Anesthetic management in a 1‐year‐old child undergoing removal of a large metal tracheobronchial foreign body

Anesthetic management in a 1‐year‐old child undergoing removal of a large metal tracheobronchial foreign body

Pediatric foreign body aspirations: experience of 263 cases

Cuerpo extraño bronquial: Experiencia de los últimos 18 años en Hospital Guillermo Grant Benavente, Concepción, Chile

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