Effects of different bronchoalveolar lavage methods on tracheobronchial foreign body patients

Luo, Huanan; Ma, Shanshan; Guo, Haili; Wang, Zhenghui; Ren, Xiaoyong

doi:10.1002/lary.25484

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…Out of the 14,471 cases in this review article, only 2551 reported a positive history of FBA and its associated complications. The rate of this event was 100% in Denmark 46 and Italy, 47 whereas India 17,18 (57.9%) and China 6,7,20–26,34,36,37 (52.8%) had the lowest witness rates. As presented in Table 4, Asian patients reported a higher number of choking history, while Europeans had fewer witnesses of FBA.…”

Section: Results and Descriptions Of The Included Studiesmentioning

confidence: 93%

“…After screening and reviewing the articles, 14,471 cases were evaluated with 2852 females (40%) and 4290 males (60%) being the majority. India, 17,18 Pakistan, 19 and China 7,20–26 had the highest male‐to‐female ratios, while Sweden 14 and Iran 8 had ratios closer to 1. We were unable to determine the precise number of pediatric males and females from 12 articles 6,27–37 .…”

Section: Results and Descriptions Of The Included Studiesmentioning

confidence: 98%

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The characteristics of foreign bodies aspirated by children across different continents: A comparative review

Parvar

Sarasyabi

Moslehi

et al. 2022

Pediatric Pulmonology

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Background Foreign body aspiration (FBA) is a common issue in pediatric emergencies, with regional variations. Various cultures and foods, parents' and physicians' inadequate experience, and lack of bronchoscopy equipment are some attributable factors in the regional variation of FBA. Aim To more accurately represent the demographic characteristics of aspirated foreign bodies (FBs) across various continents, this review attempted to provide organized information based on the reviewed articles. Methodology A search was conducted in PubMed/PubMed Central, EMBASE, and google scholar. From the 36 included articles, information on age, gender, bronchoscopy type, type of FB, location, history of choking, and time elapsed between aspiration and admission were extracted. Results A total of 14,469 cases were evaluated. According to the findings, children under two accounted for more than 75% of FBAs. Nuts and seeds were the most common FBs in most countries, whereas plastic and metal objects had higher rates in Brazil, and calcified objects were more prevalent in Thailand. The right bronchus was the most frequent location, and rigid bronchoscopy was the most often utilized type of bronchoscope. In addition, a significant percentage of patients were referred to the emergency rooms in the first 12−24 h following the aspiration incident. Moreover, Asian patients reported more choking history, and Europeans had fewer witnesses of FBA. Conclusions There is a lack of standardized reporting systems and organized guidelines in pediatric FBA. To select the ideal time for endoscopies and create educational programs, a collaboration between experienced researchers, pediatric pulmonologists, radiologists, and otolaryngologists is required.

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Section: Results and Descriptions Of The Included Studiesmentioning

confidence: 93%

Section: Results and Descriptions Of The Included Studiesmentioning

confidence: 98%

The characteristics of foreign bodies aspirated by children across different continents: A comparative review

Parvar

Sarasyabi

Moslehi

et al. 2022

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

“…Clinicians can use this reaction to decrease mucosal bleeding during surgery and procedures (Kuan et al, ; Valdes, Al Badaai, Bogado, & Samaha, ; Zhu & Meng, ). The benefit of airway administration of epinephrine to stop bleeding has been recognized, and topical application of local anesthetics with epinephrine is used to promote recovery in tracheobronchial foreign body (TFB) patients and reduce the incidence of complications in BAL with bronchoscopy (Luo, Ma, Guo, Wang, & Ren, ). Lange et al () found that nebulization of 1:1,000 epinephrine reduced airway blood flow and attenuated pulmonary dysfunction in sheep subjected to severe smoke inhalation injury.…”

Section: Disscusionmentioning

confidence: 99%

Bronchoalveolar lavage with pediatric flexible fibreoptic bronchoscope in pediatric haematopoietic stem cell transplant patients: Nursing considerations for operative complications

Huang

Lin

Fan

et al. 2019

Specialist Pediatric Nursing

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AbstractsPurpose: Bronchoalveolar lavage (BAL) with pediatric flexible fibreoptic bronchoscopy (FB) is used for diagnostic and therapeutic purposes in pediatric haematopoietic stem cell transplant (HSCT) patients with pulmonary complications. The aim of our study was to evaluate complications in pediatric HSCT patients undergoing BAL/FB and to explore the nursing emphases on complications. Design and Methods:We performed a retrospective, case-controlled study to evaluate perioperative complications of HSCT children. BAL/FB was conducted for 42 children with HSCT who experienced pulmonary complications between January 2017 and January 2018 within a tertiary hospital. Forty patients diagnosed with general pneumonia were randomly selected during the same period and served as the control group. We analyzed the signs and symptoms of all patients and compared the operative complications between the two groups. Furthermore, we presented the methods used to manage complications. Results:The presence of cough, lung rales, and imaging findings in the HSCT patients was significantly different from that of the control group (p < 0.0001). The complication rate was 66.67% (28/42) in the HSCT group and 22.5% (9/40) in the control group, and the difference was significant (p < 0.0001). Twelve out of 42 HSCT patients experienced airway mucosal bleeding (28.57%), and six had transient fever (14.29%). The topical use of epinephrine diluted saline (1:10,000) was highly effective for controlling airway mucosal bleeding without causing fluctuations in blood pressure.Practice Implications: There were more perioperative complications in the HSCT patients than in the general pneumonia patients who underwent BAL/FB. Airway J Spec Pediatr Nurs. 2019;24:e12236.wileyonlinelibrary.com/journal/jspnWhat is currently known: Bronchoalveolar lavage (BAL) with pediatric flexible fibreoptic bronchoscopy (FB) is an useful tool for diagnostic and therapeutic purposes of haematopoietic stem cell transplant (HSCT) children. Nurses must be aware of perioperative complications of BAL/FB in HSCT children.What does this study add: This paper adds to the literature by analyzing perioperative the complications of HSCT children underwent BAL/FB. The primary findings focused on the main complication of these patients and the effective intervention strategy.

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Foreign Bodies in the Airway: Endoscopic Methods

Simoff

Bedi

Eperjesiova

2023

Interventions in Pulmonary Medicine

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Effects of different bronchoalveolar lavage methods on tracheobronchial foreign body patients

Abstract: 1b.

Cited by 3 publications

References 30 publications

The characteristics of foreign bodies aspirated by children across different continents: A comparative review

The characteristics of foreign bodies aspirated by children across different continents: A comparative review

Bronchoalveolar lavage with pediatric flexible fibreoptic bronchoscope in pediatric haematopoietic stem cell transplant patients: Nursing considerations for operative complications

Foreign Bodies in the Airway: Endoscopic Methods

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