Residual airway foreign bodies in children who underwent rigid bronchoscopy

Xu, Bin; Wu, Lei; Jin, Ziying; Chen, Xiaowei; Cao, Chun-Li; Liu, Jia; Ai, Jinglu; Fu, Yong; Shu, Qiang

doi:10.1016/j.ijporl.2019.01.007

Cited by 13 publications

(11 citation statements)

References 34 publications

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“…Results obtained from our study confirm this statement—in 34 cases (80.95%), foreign bodies observed in bronchoscopy were organic, while only 8 patients (19.05%) were aspirated objects inorganic. It is reported that among organic foreign bodies extracted from airways, the most frequent are nuts, meat, vegetables, and fruits [ 2 , 3 , 4 , 5 , 14 , 16 ]; in our study, nuts were found most commonly (24 cases; 57.14%). Inorganic foreign bodies are seen in 7–25% positive bronchoscopies; the most common inorganic objects include fragments of pens and small plastic toys [ 1 , 9 ].…”

Section: Discussionsupporting

confidence: 47%

“…Even in questionable cases, bronchoscopy provides a reliable diagnostic and therapeutic tool [ 1 , 8 ]. We have to remember that foreign body aspiration is an emergency, and in potentially stable cases, the patient’s condition may drastically worsen, which is why fast and proper diagnosis should be stated and adequate therapeutic protocol should be applied [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Rigid Bronchoscopy in Foreign Body Aspiration Diagnosis and Treatment in Children

2021

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Foreign body aspiration in children is a common condition and can bring about serious undesired results. Fast and accurate diagnosis and foreign body extraction from airways are essential. We performed a retrospective study on rigid bronchoscopy outcomes due to suspected foreign body aspiration. A total of 66 children were admitted to the Chair and Department of Pediatric Otolaryngology, Phoniatrics and Audiology, Medical University of Lublin between 2015 and 2020 and underwent rigid bronchoscopy in general anesthesia due to suspected foreign body aspiration. We analyzed the data, including patients age and sex, reported complaints, and bronchoscopy findings. Analyzed children were aged from 8 months to 17 years old; 74.24% of them were under 3 years old during the procedure, and most of the operated patients were males. In 36.36% cases, no foreign body was identified, and 57.14% foreign bodies were located in right main bronchus. A total of 80.95% of foreign bodies extracted from airways were organic, mostly nuts. Diagnosis and treatment of suspected foreign body aspiration requires consistent cooperation between pediatricians, pulmonologists, anesthesiologists, and otolaryngologists.

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Section: Discussionsupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Rigid Bronchoscopy in Foreign Body Aspiration Diagnosis and Treatment in Children

2021

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“…In the remaining 37% of the cases in which the endoscopy did not lead to the removal of the foreign body, the objects were radiolucent and it was impossible to locate them, thus the decision for the intervention was made on the basis of the information that emerged from the anamnesis about the characteristics of the object. In addition, it is important to point out that if foreign-body impaction lasts for more than 24 h, there is a significant increase in the incidence of complications [ 27 , 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department

et al. 2021

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Ingestion of foreign bodies is a frequent pediatric cause of access to the Emergency Department (ED). The aim of this study was to determine the epidemiological and clinical features of pediatric patients with a diagnosis of foreign body ingestion and to identify the factors associated with an urgent invasive procedure or hospitalization. This is a retrospective study conducted on a population of 286 pediatric patients (0–17 years) evaluated for foreign body ingestion at the Pediatric ED of “Fondazione Policlinico Universitario A. Gemelli, IRCSS” between October 2014 and June 2019. Data concerning age and gender, underlying diseases, type of foreign body, symptoms and signs, instrumental tests, specialist visits, treatment and outcome were analyzed. The majority of foreign bodies were coins (23%). Symptoms recurred in 50% of the foreign bodies with esophageal localization and between the 92 (32%) patients with symptoms the most common was vomiting (7%). X-rays was performed in 61% of patients. Among all patients, 253 patients (88.8%) had been discharged, 21 (7%) had been hospitalized, and four (1.4%) were sent to an outpatient facility. Besides, 17 (5.9%) patients had been transferred to the Observation Unit. Of the hospitalized patients (21 (7.3%)), clinical observation was performed for 57% and endoscopic procedure for 45%. Our data confirm that the ESPGHAN-ESGE guidelines application prevents interventions that are not necessary, avoiding diagnostic and therapeutic delays.

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“…Patients with difficult to remove, friable foreign bodies, or procedural complications frequently have prolonged symptoms. Moreover, in patients with friable objects and persistent symptoms or new radiographic findings, residual material or associated complications such as mucous plugging or fibrotic material were found on repeat bronchoscopy (7,70). Repeating bronchoscopy thus should be considered, especially in aspirated material which is more difficult to remove in a single setting.…”

Section: Cryoprobementioning

confidence: 99%

Foreign body aspiration: a review of current strategies for management

Sarkar¹,

Murthy²

2021

Shanghai Chest

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The management of foreign body aspiration requires careful planning and a good understanding of the physical properties of frequently aspirated objects as well as the array of tools available for securing them. Additionally, patient-specific factors must be taken into consideration during procedure planning, including patient age, respiratory status, the location of aspirated items and underlying patient comorbidities.The sequelae of foreign body aspiration are closely related to both the nature of the foreign body itself as well as their position in the tracheobronchial tree and chronicity after aspiration; these secondary effects frequently warrant specific therapeutic intervention. Rigid and flexible bronchoscopy are the main therapeutic approaches, with specific bronchoscopic tools suited to different clinical scenarios. Procedure planning also requires thoughtful consideration of the safest approach to anesthesia, balancing patient comfort and procedural success. Foreign body aspiration is a relatively infrequent event in adults but requires experience and careful planning to manage successfully.

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Residual airway foreign bodies in children who underwent rigid bronchoscopy

Cited by 13 publications

References 34 publications

Rigid Bronchoscopy in Foreign Body Aspiration Diagnosis and Treatment in Children

Rigid Bronchoscopy in Foreign Body Aspiration Diagnosis and Treatment in Children

Foreign Body Ingestion in Children: Epidemiological, Clinical Features and Outcome in a Third Level Emergency Department

Foreign body aspiration: a review of current strategies for management

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