Lower respiratory tract foreign bodies: A retrospective review of morbidity, mortality and first aid management

Rouillon, Isabelle; Charrier, Jean-Baptiste; Devictor, Denis; Portier, F.; Lebret, I. Kerurien; Attal, Pierre; Pajolec, Christine Le; Bobin, S.

doi:10.1016/j.ijporl.2006.07.022

Cited by 18 publications

(6 citation statements)

References 23 publications

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“…In clear case of FB inhalation (such as a radioopaque FB, a mediastinal shift, or localized wheezing or decreased lung sounds combined with unilateral atelectasis or hyperinflation [3]) or in case of dyspnea, there is no reason to perform flexible and rigid bronchoscopy, so only the rigid one must be done [20]. Flexible endoscopy is recommended as the appropriate diagnostic tool to eliminate doubt in case of equivocal inhalation (such as doubtful history, with or without doubtful physical examination and negative radiological evaluation) and in case of a first severe asthma attack [22], or acute wheezing [17] or unexplained persistent cough with refractory parenchymal infiltrates, or recurrent pneumonia [20] or other respiratory illness or condition that not respond to appropriate medical management [12].…”

Section: Discussionmentioning

confidence: 99%

The complimentary role of diagnostic and therapeutic endoscopy in foreign body aspiration in children

Cutrone

Pedruzzi

Tava

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

The complimentary role of diagnostic and therapeutic endoscopy in foreign body aspiration in children

Cutrone

Pedruzzi

Tava

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…Similarly, Rouillon et al reported fatal outcome in 13 out of 28 paediatric cases of FB inhalation requiring treatment in Intensive Care Units. Penetration syndrome was the identified cause of asphyxia, cardio-respiratory arrest and finally death, regardless of the initial treatment [14]. Cause of death in our patient therefore, may be vasovagal reflex precipitated by multiple risk factors.…”

Section: Discussionmentioning

confidence: 58%

Vagal reflex stimulation complicating retrieval of an unusual foreign body from the laryngotracheal lumen: Case report

Omokanye

Alabi

Ige

et al. 2016

Egyptian Journal of Anaesthesia

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Foreign body impaction in the aero digestive tract is a life-threatening emergency, particularly in the paediatric age group. Removal under general anaesthesia poses both surgical and anaesthetic challenges and this may rarely result in mortality. We report a case of a 4 year old boy with an unusual foreign body (FB) impacted in the laryngotracheal causing difficult intubation and precluding tracheostomy with attendant vasovagal reflex stimulation and cardiac arrest. Clinical presentation and radiological evaluation of the patient were highlighted with a review of pertinent literature. We conclude that dis-impacting a foreign body in the trachea could potentiate bradycardia and cardiac arrest; co-existing hypercarbia and/or sepsis increase the risk and worsen the prognosis.

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“…For the important outcome of relief of FBAO, we identified very-low-certainty evidence from 4 case series studies 278 , 285 , 343 , 344 reporting successful relief of FBAO in 417 patients treated with Magill forceps.…”

Section: Special Circumstancesmentioning

confidence: 99%

Adult Basic Life Support

Berg¹,

Soar²,

Andersen³

et al. 2020

Resuscitation

100

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This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 20 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 3 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review. Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest. The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

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Lower respiratory tract foreign bodies: A retrospective review of morbidity, mortality and first aid management

Cited by 18 publications

References 23 publications

The complimentary role of diagnostic and therapeutic endoscopy in foreign body aspiration in children

The complimentary role of diagnostic and therapeutic endoscopy in foreign body aspiration in children

Vagal reflex stimulation complicating retrieval of an unusual foreign body from the laryngotracheal lumen: Case report

Adult Basic Life Support

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