Foreign body aspiration in Israeli children during the COVID‐19 pandemic

Golan‐Tripto, Inbal; Tsabari, Reuven; Picard, Éric; Stafler, Patrick; Keren, Armoni Domany; Goldbart, Aviv; Aviram, Micha; Gatt, Dvir; Bari, Romi; Tsaregorodtsev, Sergey; Peled, Chilaf; Melnik, Pesah; Bar‐Yoseph, Ronen; Gut, Guy

doi:10.1002/ppul.26203

Cited by 3 publications

(4 citation statements)

References 29 publications

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“…Despite the hypothesis that isolation policies and home-office movement can be additional risk factors for FBI and FBA [9], our study showed no major changes in the demographic profile of patients admitted for FB and no major impact of COVID-19 on the presented subject [10]. Because most of the authors agreed on the in- creasing trend in foreign body diagnoses, there are some suggesting that better parental supervision could lead to improvement in that field [10,11]. There is limited literature in the topic of foreign bodies in children during COVID-19.…”

Section: Discussioncontrasting

confidence: 86%

“…There is limited literature in the topic of foreign bodies in children during COVID-19. As we presented a history of 236 children, most of the studies contributed less than 100 patients [10,12,13], some of them being case reports [14, 15] and others using national electronic databases [16].…”

Section: Discussionmentioning

confidence: 99%

“…Rigid bronchoscopy seems to be a procedure of choice in FBA cases [24,25] and so is the history of the bronchoscope itself; however, some authors present a rise in the usage of flexible bronchoscopy [10]. During the analysed period we performed 70 rigid bronchoscopies, 13 of which resulted in no FB presence, and all the rest ended successfully with FB removal.…”

Section: Discussionmentioning

confidence: 99%

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How is the COVID-19 pandemic related to ingestion and aspiration of foreign bodies among children – single-institution experience

Dryjański,

Gogolok,

Pilszak

et al. 2024

polp

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Introduction:This study aimed to evaluate the relevance of the COVID-19 pandemic and the consequent isolation policy on foreign body aspiration (FBA) or ingestion (FBI) reports among children. Material and methods:A retrospective review of medical records between January 2018 and September 2021 was carried out to identify patients younger than 18 years who were admitted to the Paediatric Surgery and Urology Department, University Hospital in Wrocław, due to suspicion of a foreign body (FB) in their digestive or respiratory system. For each patient: age, sex, hospitalisation time, type of foreign body, its localisation, time and means for removal, and diagnostic approach were assessed. Results:The study group comprised 236 children. The patients were divided into 2 groups including children that were admitted before and after the declaration of the state of pandemics in Poland (20 March 2020), which gives periods of 26 and 20 months, respectively. Those related to general admission number (as a percentage of all admissions) equal an average of 1.92% (of 6300) and 2.03% (of 3802), respectively. This resulted in 122 children before and 114 after the beginning of the pandemic. The age ranges were 6-203 months (median 30) and 8-211 months (median 35), respectively. The most common types of foreign bodies were food, batteries, and coins. The new ones comprised magnetic pieces found in 12 children. Surgical intervention, which mostly included gastroscopy or rigid bronchoscopy, was undertaken in 186 cases -for the groups, 70 (57.4%) and 69 (60.5%) FBs, respectively, were removed. The assessed success rate was 71.43% and 78.41%, respectively. Conclusions: The pandemic isolation policy seems to have had no major impact on FBI and FBA events. KEY WORDS:foreign body ingestions, foreign body aspirations, foreign bodies children, bronchoscopy in children, gastroscopy in children.

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Section: Discussioncontrasting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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How is the COVID-19 pandemic related to ingestion and aspiration of foreign bodies among children – single-institution experience

Dryjański,

Gogolok,

Pilszak

et al. 2024

polp

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show abstract

“…This is why the incidence of FBA is significantly higher in countries where peanuts and seeds are traditionally eaten at an early age than in countries where these foods are introduced much later [14 ▪▪ ]. Interestingly, there were fewer cases of FBA during COVID-19 lockdown periods, compared to postlockdown periods, presumably due to better parental supervision [15 ▪ ].…”

Section: Prevalence and Incidence Of Foreign Bodies Aspirationmentioning

confidence: 99%

Foreign body aspiration in children – being safe and flexible

Keil

Schwerk

2023

Current Opinion in Anaesthesiology

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Purpose of reviewAnesthesia for foreign body removal in children can be quite challenging. Even though rigid bronchoscopy is considered the gold standard for foreign body removal, there is increasing evidence for successful foreign body removal using flexible bronchoscopy. This review discusses the recent implications for flexible bronchoscopy for the purpose of foreign body removal and will compare these findings to rigid bronchoscopy.Recent findingsDuring the last few years, several observational studies on foreign body removal by flexible bronchoscopy have been published, with promising results.SummaryFlexible bronchoscopy is a feasible and safe method for removing aspirated foreign bodies in children. In order to improve patient safety during the procedure, it is necessary for a pediatric anesthetist and a pediatric pulmonologist to work closely together. The anesthetist can take care of the administration of the anesthetic and maintenance of the vital functions, and the pulmonologist can carry out a safe and fast bronchoscopy. In the case of foreign body removal by flexible bronchoscopy, the anesthesiological procedure of choice should be general anesthesia with controlled ventilation via a laryngeal mask.

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An unpremeditated complication of COVID-19 and mucormycosis: a case report, brief review, and warning for tunnel vision

Mehdinezhad

Ahangar

Azizi

et al. 2023

Preprint

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Over the course of the Coronavirus disease 2019 (COVID-19) pandemic, numerous complications have been documented. In this report, we have detailed an unexpected complication of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection that occurred in a 73-year-old female patient who was simultaneously afflicted with mucormycosis and another unanticipated problem. Due to the lack of recovery of the patient after receiving mucormycosis treatment and continued fever, cough and hemoptysis, bronchoscopy was performed for her. During bronchoscopy, we encountered a foreign body that was the cause of the patient's fever, cough, and hemoptysis. Rigid bronchoscopy was performed and a foreign body (2.7 x 1.2 cm) was removed from the left main bronchus. Although research has showed fewer cases of pediatric Foreign Body Aspiration (FBA) during lockdown periods, there is not enough evidence about FBA risk in elderly patients with comorbidities. Finally, in the treatment of cases of COVID-19 infections co-infected with opportunistic fungal and maybe even bacterial infections, we should not look at the patient through a tunnel vision and consider all possible scenarios for the patient.

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Foreign body aspiration in Israeli children during the COVID‐19 pandemic

Cited by 3 publications

References 29 publications

How is the COVID-19 pandemic related to ingestion and aspiration of foreign bodies among children – single-institution experience

How is the COVID-19 pandemic related to ingestion and aspiration of foreign bodies among children – single-institution experience

Foreign body aspiration in children – being safe and flexible

An unpremeditated complication of COVID-19 and mucormycosis: a case report, brief review, and warning for tunnel vision

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