Diagnostic evaluation of foreign body aspiration in children: a prospective study

Even, Lea; Heno, Nawaf; Talmon, Yoav; Elvin, Samet; Zonis, Zeev; Kugelman, Amir

doi:10.1016/j.jpedsurg.2005.03.049

Cited by 106 publications

(43 citation statements)

References 17 publications

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“…(2,14,25) In our sample, there was also a predominance of foreign bodies of vegetal origin, especially beans (13 cases; 46.4%) and peanuts (11 cases; 39.3%) than half of all cases. (10,16,23) As it is dependent on the examiner, asymmetry in pulmonary auscultation might present a high degree of subjectivity, and its absence should not be considered a reason for ruling out FBA. When other signs and symptoms have raised the suspicion of FBA, clinicians should attempt to perform a more accurate and careful pulmonary auscultation in the search for asymmetry.…”

Section: Discussionmentioning

confidence: 99%

Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico

Fraga¹,

Reis²,

Zambon³

et al. 2008

J. bras. pneumol.

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Section: Discussionmentioning

confidence: 99%

Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico

Fraga¹,

Reis²,

Zambon³

et al. 2008

J. bras. pneumol.

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“…El problema se confunde con un evento asmático agudo 3 . Sin embargo, se ha visto que los cuales mencionan que los síntomas más comunes en estos casos son la asfixia (76.8%) y la tos prolongada (14.3%) con una sensibilidad y especificidad del 91.1% y 42.5%, respectivamente 4 . Hay que recalcar que el dato clínico que mejor orienta a sospechar que un paciente ha broncoaspirado un cuerpo extraño, es la información de un familiar, que a menudo relata que "el niño estaba jugando con algo en la boca y empezó a ahogarse".…”

Section: Discussionunclassified

Extracción broncoscópica de cuerpos extraños en la vía aérea. Diez años de experiencia

David¹,

María²

2014

Acta Pediatr Mex

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RESUMENIntroduccion. La aspiración de un cuerpo extraño es un evento común en niños y es una causa frecuente de morbilidad y mortalidad, la que se debe a la dificultad respiratoria; ésta puede ser súbita, acompañada de tos. Objetivo: Determinar las características clínicas y los resultados del tratamiento broncoscópico en niños que han aspirado cuerpos extraños. Material y metodo. Estudio retrospectivo de enero del 2000 a diciembre del 2009 de 84 pacientes que aspiraron un cuerpo extraño, a quienes se le extrajeron por vía broncoscópica. Fueron 55 niños y 29 niñas cuyas edades iban de ocho meses a 13 años. Resultados: Las manifestaciones clínicas más frecuentes fueron la asfixia en 75 (90%), la cianosis, 67 (80.4%) y la polipnea en 63 (75.6%). Los datos radiológicos fueron positivos en 82 pacientes (98.4%). El objeto aspirado más común fue el cacahuate (33.6%). Los cuerpos extraños se localizaron en la tráquea en nueve casos (14.4%); en la carina en cuatro (4.8%); en el bronquio derecho en 52 pacientes (62.4%) y en el bronquio izquierdo en 19 (22.8%). Conclusiones: Los cuerpos extraños en la vía aérea son una urgencia que amenaza la vida. La historia clínica es la clave del diagnóstico. La broncoscopia con anestesia general es un procedimiento seguro y eficaz. Palabras clave: Cuerpo extraño, aspiración, broncoscopia, morbilidad, mortalidad, complicación. ABSTRACTIntroduction. Foreign body aspiration is a common accident in children and represents an important cause of morbidity and mortality. The onset of respiratory distress may be sudden with cough. Objective. To determine the clinical characteristics and the results of bronchoscopic treatment of children who aspired a foreign body. Methods: Retrospective study of 84 children from January 2000 to December 2009 who had a foreign body removed from the airway by bronchoscopy. Fifty-five boys and 29 girls were included. Their ages ranged from 8 months to 13 years. Results: The most frequent clinical manifestation was choking in 75, (90%); cyanosis, 67 (80.4%) and polypnea in 63 (75.6%). Positive radiological findings were present in 82 patients (98.4%), and the most common object aspired was a peanut (33.6%). Foreign bodies were located in the trachea in 9 cases (14.4 %); in the carina in 4 cases (4.8 %); in the right bronchus in 52 patients (62.4 %) and in the left bronchus in 19 cases (22.8 %). Conclusions. Airway foreign bodies are a potentially life-threatening event. Medical history is the key for the diagnosis. Broncoscopy under general anesthesia is a very safe y effective procedure for patients with airway obstruction caused by a foreign body.

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“…She applied the steroid ointment to all the affected and vulnerable areas and was kept warm (normothermic) on the ward. We aimed to avoid the triggering factors such as friction, heat and sweating or wet skin [1,2]. The patient positioned herself on the operating table before induction of anaesthesia.…”

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confidence: 99%

“…The defect responsible has been identified on chromosome 3q21-24. An abnormality of the protein SPCA1 (secretory pathway calcium ⁄ manganese-ATPase), a calcium and manganese pump, leads to inadequate adhesion between skin cells (keratocytes) [1][2][3]. Hailey-Hailey disease is usually diagnosed on the basis of its appearance and a family history.…”

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Stridor: remember the oesophagus

Schoeman¹,

Nicholson²

2006

Anaesthesia

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opening. None of our patients had a mouth opening distance of less than 2.5 cm, even with an appropriately sized cervical collar in place.We believe that in patients with an unstable cervical spine who require awake intubation the LMA CTrach can be used safely and effectively. It is cheaper and can be obtained more easily than a fibreoptic laryngoscope, and does not require extensive experience to use successfully.

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Diagnostic evaluation of foreign body aspiration in children: a prospective study

Cited by 106 publications

References 17 publications

Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico

Aspiração de corpo estranho em crianças: aspectos clínicos, radiológicos e tratamento broncoscópico

Extracción broncoscópica de cuerpos extraños en la vía aérea. Diez años de experiencia

Stridor: remember the oesophagus

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