Tracheobronchial foreign bodies—a review of 14 years' experience

Harboyan, Garbis; Nassif, Ramzi

doi:10.1017/s0022215100072017

Cited by 39 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies by C. Jackson et al [11] and Harboyan G, et al [12] advised a diagnostic bronchoscopy in pediatric cases with chronic respiratory disease in children, especially in chronic obstructive lung diseases, as these patients have a remote possibility of foreign body aspiration without a definitive history. A bronchoscopy in these patients may also be useful for clearance of mucous plugs and retained secretions.…”

Section: Discussionmentioning

confidence: 99%

Foreign Bodies of Airway: Our Experience at a Tertiary Care Center in Gujarat

Shah

Bhatt

Modi

2022

JAMMR

View full text Add to dashboard Cite

Background: Foreign bodies of airway are a common cause of mortality in pediatric age group. The management of these requires multi-departmental approach. In our study we share our experience of foreign body management over a period of 3 years at a tertiary care center in Gujarat. Aims: To study incidence, age and gender distribution of foreign bodies in airway; To establish the methods for managing foreign bodies of airway, to study the complications of foreign bodies. Methods and Management: A prospective study was performed in the department of Otorhinolaryngology in GG. Hospital, Jamnagar, from the year 2018 to 2021. Data was collected for patients with foreign body aspiration. Results: The most common age group being between 1-2 years of age (48.27%). The mean age in our study was 25.6 months. There was a slight male predilection of 51.72% (n=30), and 48.27% (n= 28) being females. Choking and paroxysmal coughing were the most common symptoms, seen in 68.96% and 77.58% of the patients respectively. Right main bronchus was more commonly affected, 51.72% cases. Peanuts were the most commonly encountered foreign bodies, 58.62%. Laryngeal spasm was the commonest intra operative complication. Post operatively pneumonia was the commonest complication, treated with antibiotics and steroids. Conclusion: Foreign bodies in the airway are associated with a significantly higher morbidity and mortality. The difficulty in removal of the foreign bodies depends on their location and type, the instruments and the anesthesia available. It continues to pose a challenge even for experienced endoscopists, however, a pre-operative CT scan is extremely helpful.

show abstract

Section: Discussionmentioning

confidence: 99%

Foreign Bodies of Airway: Our Experience at a Tertiary Care Center in Gujarat

Shah

Bhatt

Modi

2022

JAMMR

View full text Add to dashboard Cite

show abstract

“…Certain risk factors that lead to hypoxaemic complications and mortality during endoscopic extraction of foreign bodies in the present series of patients were identified and included a vegetable foreign body necessitating a prolonged bronchoscopy beyond 20 minutes in patients below 3 years of age especially the infants, improper size and positioning of a bronchoscope, a semi-blind procedure without using a telescope or telescopic forceps, inadequate patient preparation and a lighter plane of anaesthesia, late presentation or delayed referral, failure to resuscitate a hypoxic patient during anaesthesia, inadequate knowledge about the bronchopulmonary anatomy, failure to recognize and manage a complication such as pneumothorax during or after bronchoscopy, and a less-skilled anaesthetist/bronchoscopist. Harboyen and Nassif [21] reported 36 instances (16%) of tracheostomy in 225 bronchoscopies, mostly in the prolonged traumatic procedures. Bittencourt et al [22] analysed the variables associated with hypoxaemia in children who underwent rigid bronchoscopy for foreign body removal.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Prognosis in the Endoscopic Extraction of Foreign Bodies in Kashmiri Population

Sheikh¹,

Afshan²,

Sheikh³

et al. 2019

IJOHNS

View full text Add to dashboard Cite

An updated approach in the management of 50 patients with foreign body inhalation is presented. Certain risk factors that lead to complications and mortality due to endoscopic extraction of foreign bodies and thus determine prognosis were identified. Remedial measures to reduce morbidity and mortality due to bronchoscopic removal of foreign bodies are suggested. Fifty patients of suspected foreign body inhalation presented to a Unit of the Department of ENT, Head and Neck Surgery of Government Medical College associated SMHS Hospital Srinagar, Kashmir from March 2007 to June 2017. Of these, 49 patients were subjected to rigid tube bronchoscopy for removal of the aspirated foreign bodies and one coughed out the foreign body spontaneously during admission for bronchoscopy. History of foreign body inhalation was positive in 90% of patients and remaining was mostly referred from Paediatric Units with un-resolving collapse-consolidation of the lung. Whereas plain radiography of the chest and the soft tissues of neck were the primary imaging modality used in this study to detect the inhaled foreign bodies or their effects there are reports of virtual bronchoscopy being done with a multidetector computed tomography scanner in 3D image generation from axial cuts of the internal walls of the tracheobronchial tree in the management of patients suspected with foreign body aspiration. Bronchoscopy is a difficult and potentially hazardous procedure in the infant and young child. Telescopes and telescopic forceps were used during bronchoscopy to facilitate extraction of a foreign body inhaled. The type of a foreign body, site of its enlodgement and the complications encountered during its extraction were noted. During bronchoscopy the patients were connected to an ECG monitor How to cite this paper: Sheikh, M.S.,

show abstract

“…This is in conformity with other reports. [ 11 ] Further, X-rays of the chest were completely normal in 16% cases. This would indicate that even a normal X-ray of the chest does not negate the diagnosis of a foreign body in the respiratory passage.…”

Section: Discussionmentioning

confidence: 99%

A retrospective analysis on anesthetic management during rigid bronchoscopy in children with foreign body aspiration: Propofol and sevoflurane with controlled ventilation

Annigeri

Patil

2017

Anesth Essays Res

View full text Add to dashboard Cite

Background:Bronchoscopic removal of foreign body in the airway is one of the important life-saving procedure and demands skill and expertise on the part of the surgeon and anesthesiologist.Aim:To study the outcome of controlled ventilation during rigid bronchoscopy in children with foreign body aspiration.Materials and Methods:A review of fifty cases of foreign body in the bronchi, from January 2014 to December 2015 was undertaken in Vittal Institute of Child Care Hospital, Dharwad, through patient case records. Patients between 6 months and 14 years were included in the study. Cases of foreign body in the larynx and trachea were excluded. Patients were induced with propofol and maintained on sevoflurane. The parameters observed were bronchoscopy attempts, succinylcholine requirement, episodes of laryngospasm, cough, bronchospasm and spontaneous recovery. Statistical analysis was done by Chi-square test using software OpenEpi version 7.3.Results:Of 45 patients with organic foreign body, 42 (94%) patients required one attempt of bronchoscopy and 3 (6%) patients required two attempts. Five (100%) patients with inorganic foreign body required single attempt (P = 0.66). Forty-three (96%) patients with organic foreign body required two repeat doses of succinylcholine and 2 (4%) patients required three repeat doses. All 5 (100%) patients with inorganic foreign body required two repeat doses (P = 0.7461). Two (4%) patients aspirated with organic foreign body had laryngospasm, and there was no cough or bronchospasm with either patient. Two (4%) patients with organic foreign body required tracheostomy. Inorganic foreign body group of patients had lesser complications.Conclusion:In our study, patients on controlled ventilation had few intraoperative complication and smooth early recovery. Controlled ventilation with relaxation should be preferred for any pediatric bronchoscopies. Eliciting history of type of foreign body helps in planning and management of procedure.

show abstract

Tracheobronchial foreign bodies—a review of 14 years' experience

Cited by 39 publications

References 5 publications

Foreign Bodies of Airway: Our Experience at a Tertiary Care Center in Gujarat

Foreign Bodies of Airway: Our Experience at a Tertiary Care Center in Gujarat

Factors Influencing Prognosis in the Endoscopic Extraction of Foreign Bodies in Kashmiri Population

A retrospective analysis on anesthetic management during rigid bronchoscopy in children with foreign body aspiration: Propofol and sevoflurane with controlled ventilation

Contact Info

Product

Resources

About