Recommendations for the prevention of foreign body aspiration

Lluna, J; Olabarri, Mikel; Doménech, Ana; Rubio, B.; Yagüe, Francisca; Benítez, M.T.; Esparza, M.J.; Mintegi, Santiago

doi:10.1016/j.anpede.2016.04.003

Cited by 16 publications

(15 citation statements)

References 11 publications

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“…To prevent injury, the supervision of children is essential in all aspects of their lives, even during eating. Most choking episodes occur during meals or play and generally occur under adult supervision [ 26 , 27 , 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…One of the risk factors for FBA is a lack of knowledge by caregivers of children, where the European-Union-based surveillance of FBA and the Susy Safe registry show that an adult was present in 40% of the FBA cases involving a child younger than 1 year old [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

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Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

Montana

Salerno

Feola

et al. 2020

IJERPH

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(1) Background: Foreign body aspiration (FBA) is a significant public health concern among the pediatric population, and fatalities are dramatic for families. It typically involves organic foreign bodies (mainly food) aspirated by children under three years old, usually at home or school. This review aimed to focus on the preventive measures around four actual cases of fatal foreign body aspiration, emphasizing the correct execution of the Heimlich maneuver and cardiopulmonary resuscitation, supervised mealtimes, and high-risk foods. (2) Methods: Four fatal cases of foreign body aspiration in children are presented here. The children were in a free environment, such as school, home, and the countryside, and were in the presence of teachers, parents, and a grandmother who did not supervise the children adequately. A literature review was performed via the MEDLINE database using the key terms: “foreign body aspiration,” “infant choking, 1.5 to 3 years,” “food and foreign body aspiration,” “common household,” “prevention of foreign body aspiration,” “guidelines,” “recommendations,” “training of caregivers (parents, educators),” “resuscitation,” “Heimlich maneuver,” and “disengagement of the upper airways.” We focused on the prevention of foreign body aspiration. (3) Results: a complete postmortem examination was performed. In three cases, the foreign bodies were food (mozzarella cheese, pear, or raw bean), while in one case, the foreign body was a pebble. (4) Conclusions: This review aimed to discuss recent scientific literature and provide a perspective on the benefits of a dedicated approach to the management of fatal foreign body aspiration in children by caregivers who usually have no experience with the best ways of supervising children in a safe environment, especially regarding the correct execution of resuscitation maneuvers, such as the Heimlich maneuver. Recommendation updates could improve healthcare quality in a pediatric setting and reduce medico-legal implications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

Montana

Salerno

Feola

et al. 2020

IJERPH

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“…Accordingly, clinicians should be aware of a possible recent trend of decreasing age among tracheobronchial FB cases. Because the fatality rate for tracheobronchial FBs in children <1 year old is reportedly as high as 40% ( 16 ), it is important that careful attention is given to preventing FB aspiration by children <1 year old in order to reduce accidental death.…”

Section: Discussionmentioning

confidence: 99%

Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China

Ding

Chen

et al. 2022

Front. Pediatr.

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Objective:To analyze the clinical characteristics of tracheobronchial foreign body (FB) cases in a pediatric Chinese population.MethodsThe clinical data of pediatric patients aged 0–18 years old diagnosed with a tracheobronchial FB in the Children's Hospital of Chongqing Medical University between September 2018 and August 2021 were analyzed retrospectively.ResultsAmong 1,328 included cases, 92.09% of patients were <3 years old, the male to female ratio was 1.86:1. The prevalence of tracheobronchial FB was similar between patients living in rural and urban areas and tracheobronchial FBs were more common in winter. The most common presenting symptoms were cough and wheezing. The most common CT findings was local obstruction or tracheobronchial narrowing, followed by obstructive emphysema of lung and pneumonia. The 11.3% of cases that did not report FB aspiration on admission had a longer time to hospital admission and longer hospitalization time than cases reporting FB aspiration (P < 0.05). The most common FB type was nuts (81.17%). FBs were more frequently located in the right bronchus, and 64 (4.82%) cases involved multiple FBs. FBs were expelled by coughing in only 4.07% of cases. For the other cases, FB removal by first bronchoscopy in our hospital was successful and complete in 96.86% of cases. 1.51% of patients had hypoxic ischemic encephalopathy (HIE) and the location of FBs was a possible risk factor for HIE (P < 0.05).ConclusionsTracheobronchial FBs occurred most commonly in children <3 years old. If asphyxia occurs in children which FBs aspirated, emergency treatment is needed to reduce the occurrence of HIE. Rigid bronchoscopy remains the first-line method for FB removal in children.

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“…The aspiration of the foreign body is a potentially life-threatening event especially in those under the age of 5 years. (5) An aspirated child can be presented to the emergency as a spectrum, ranging from an event that has no symptoms to more severe events including suffocation, cyanosis, respiratory distress, or even death. (5-7) However, in some cases, previous foreign objects that were topical in the lung can travel back to the mouth and are swallowed, after some severe cough episodes.…”

Section: Introductionmentioning

confidence: 99%

[Knowledge and attitudes regarding infant BLS among babysitters and nursemaids in north rural Jordan]

Raffee

Hamadneh

Kassab

et al. 2019

Preprint

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Background: There is a lack of national data related to the public knowledge and attitudes concerning Basic Life Support (BLS) for an infant. This study is the first to assess the knowledge and attitude regarding infant BLS among babysitters and nursemaids who are working in registered nurseries in North Jordan. Methods: A semi-structured questionnaire was conducted among a convenience sample of 77 child caretakers (babysitters and nursemaids) who were looking after infants in registered nurseries in the north of Jordan. Results: The findings show that the majority of participants were not aware of skills for managing foreign body aspiration (or CPR) among infants, while more than two-thirds of them never attended training and or education sessions regarding managing foreign body aspiration among infants. Conclusions: This research strongly recommends training for babysitters and care centre staff. The findings of this study indicated that caregivers in Jordanian kindergartens and nurseries lack awareness regarding safe infant care. As such, there is a lack of basic skills for resuscitation in urgent cases; which can increase the risk of sudden and unexpected child death. Accordingly, the infant life support course is highly recommended for babysitters and nursemaids. Health care professionals could help to implement infant basic life support training courses through local community basic service centres, non-governmental organizations, local associations, universities and health colleges through providing workshops that aim at enhancing knowledge and skills for infant BLS among caregivers and babysitters.

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Recommendations for the prevention of foreign body aspiration

Cited by 16 publications

References 11 publications

Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China

[Knowledge and attitudes regarding infant BLS among babysitters and nursemaids in north rural Jordan]

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