Morbidity and mortality in children undergoing bronchoscopy for foreign body removal

Roberts, Christopher A.; Carr, Michele M.

doi:10.1002/lary.26817

Cited by 18 publications

(17 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Peanuts, nuts, pulses, and beans were among the most common foreign bodies retrieved with a diverse clinical presentation to emergency department as 68% in a study 19 . Robert CA, and his colleagues has shown foreign body retrieval in 80.5% cases closer to our study 20 . In children we must use rigid bronchoscope due to lack cooperation.…”

Section: Resultssupporting

confidence: 88%

Role of Rigid Bronchoscopy in Management of Tracheobronchial Foreign Body Aspiration

Din

Hafeez

Junaid

et al. 2020

JMS

View full text Add to dashboard Cite

Objective: To determine the role of Rigid Bronchoscopy in Management of Tracheobronchial Foreign Body Aspiration. Material and Methods: This study was conducted in otolaryngology department, Khyber teaching hospital, Peshawar of one year duration from January 2018 to December 2019. Total 90 Patients of age 4 months to 14 years on clinical suspicion of foreign body bronchus were included, while patients with history of bronchial asthma, pulmonary tuberculosis and radio opaque foreign body bronchus were excluded. Results: Total number of patients was 90 in which male patients were 60 (66.67 %) and female patients were 30 (33.33 %), patients with foreign body bronchus were 80 (88.89%). Male patients with foreign body bronchus was 53 (58.89%) and female 27 (30.00%). In age range from 4 months to 3 years, 35(39%) Patients underwent bronchoscopy in which foreign body bronchus retrieved in 30(37.5%) patients. Conclusion: Patients with history of repeated chest infection, relieved by medicines for some time should not be over look, as vegetative foreign body bronchus are radiolucent and patients usually present late in respiratory compromised state, the clinician must urge, for prompt treatment as rigid bronchoscopy.

show abstract

Section: Resultssupporting

confidence: 88%

Role of Rigid Bronchoscopy in Management of Tracheobronchial Foreign Body Aspiration

Din

Hafeez

Junaid

et al. 2020

JMS

View full text Add to dashboard Cite

show abstract

“…Pediatric aspiration of airway foreign body is the admitting diagnosis to US hospitals for approximately 2000 children annually [ 2 ]. The mortality rate has been reported as ranging between 0.3 and 2.5% [ 2 , 3 ]. While prior studies have data revealing age-based information about nut aspiration, there is no study in the literature focused specifically on examining age-based characteristics of nut aspiration [ 4 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Age based evaluation of nut aspiration risk

D'Souza

Valika

Bhushan

et al. 2020

Journal of Otolaryngology - Head & Neck Surgery

View full text Add to dashboard Cite

Objective To identify an age at which initiation of whole nut into the pediatric diet could be considered safe, by evaluating the age distribution of children undergoing bronchoscopy with removal of nut or seed material from the airway. Method A retrospective chart review over a ten-year period identifying children age 0–18 that have undergone bronchoscopy with retrieval of airway foreign bodies. A statistical analysis of demographic data was carried out to identify age distribution of aspiration events. Results Sixty-four cases of foreign body aspiration were identified, of which 43 (67%) were of organic origin, specifically nuts. A Fisher’s exact test was carried out on the cumulative percentage of organic foreign body aspirations to identify the age distribution of nut aspiration events. A statistically significant decrease in organic foreign body aspirations occurred at approximately 36 months of age (p = 0.004). Conclusion Foreign body aspiration is a leading cause of accidental injury or death in children. Nut and other small organic foreign bodies account for a significant portion of accidental aspiration events, however, no guidelines exist regarding appropriate age of whole nut introduction into the diet. Our study suggests that 90% of pediatric nut aspiration events occur under the age of 36 months. We suggest supervised introduction of whole nuts between the ages of 3 and 4 years. Official guidelines regarding this should be considered by professional pediatric societies. Level of evidence 4

show abstract

“…Previous studies have successfully applied ACS-NSQIP-P to assess and direct quality improvement in various pediatric otolaryngologic procedures. [20][21][22][23][24][25][26][27] Thus, the primary goal of this study is to investigate the modern perioperative sequelae of laryngeal surgery for LM. In theory, ACS-NSQIP-P allows for greater generalizability of results given both large and diverse patient samples from North America, facilitating adequate statistical power to detect differences between unique patient populations of interest.…”

Section: Introductionmentioning

confidence: 99%

Surgical Intervention for Laryngomalacia: Age-Related Differences in Postoperative Sequelae

Patel

Adkins

Ramadan

et al. 2020

Ann Otol Rhinol Laryngol

Self Cite

View full text Add to dashboard Cite

Objective: Identify risk factors and determine perioperative morbidity of children undergoing surgery for laryngomalacia (LM). Methods: A retrospective analysis of the multi-institutional American College of Surgeons National Surgical Quality Improvement Program-Pediatric Database (ACS-NSQIP-P) was performed to abstract patients aged <18 years with LM (ICD-10 code Q31.5) who underwent laryngeal surgery (CPT code 31541) from 2015 to 2017. Analyzed clinical variables include patient demographics, hospital setting, length of stay, medical comorbidities, postoperative complications, readmission, and reoperation. Results: A total of 491 patients were identified, 283 were male (57.6%) and 208 were female (42.4%). The mean age at time of surgery was 1.07 years (range .01-17 years). Younger patients were more likely to undergo surgery in the inpatient setting compared to their counterparts ( P < .001). Infants were more likely to have prolonged duration of days from admission to surgery ( P < .001), days from surgery to discharge ( P < .001), and total length of stay ( P<.0010). Finally, there was no significant difference between age groups with respect to 30-day general surgical complications ( P = .189), with an overall low incidence of reintubation (1.2%), readmission (3.1%), and reoperation (1.6%). Conclusion: This analysis supports laryngeal surgery as a safe surgical procedure for LM. However, younger children are more likely to undergo operative intervention in the inpatient setting, endure delays from hospital admission to surgical intervention, and experience a prolonged length of stay due to their overall medical complexity. Recognition of key factors may assist in optimizing perioperative risk assessment and promote timely procedural planning in this unique pediatric patient subpopulation.

show abstract

Morbidity and mortality in children undergoing bronchoscopy for foreign body removal

Abstract: 2b. Laryngoscope, 128:1226-1229, 2018.

Cited by 18 publications

References 9 publications

Role of Rigid Bronchoscopy in Management of Tracheobronchial Foreign Body Aspiration

Role of Rigid Bronchoscopy in Management of Tracheobronchial Foreign Body Aspiration

Age based evaluation of nut aspiration risk

Surgical Intervention for Laryngomalacia: Age-Related Differences in Postoperative Sequelae

Contact Info

Product

Resources

About