La fibrobroncoscopia en la extracción de cuerpos extraños traqueobronquiales en adultos

Uña, J. Ramírez; Poch, Eduardo de Miguel; López, Miguel Escamilla; Abreu, J.J. Alfaro

doi:10.1016/s0300-2896(15)30485-3

Cited by 29 publications

(3 citation statements)

References 20 publications

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“…Most AFBs found in our study were organic (more animal than vegetable); inorganic and iatrogenic foreign bodies were relatively infrequent. Although the numbers vary in the literature, inorganic and iatrogenic AFB are usually more common than organic AFB [1,[3][4][5][6]10]. Two factors could explain our unusual results: firstly, our unit is not a specialised interventional pulmonology unit; and secondly, we do not have an on-call bronchoscopist.…”

Section: Discussionmentioning

confidence: 88%

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Utility of Flexible Bronchoscopy for Airway Foreign Bodies Removal in Adults

Sancho-Chust

Molina

Vañes

et al. 2020

JCM

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Foreign body aspiration is relatively infrequent in adults. Airway foreign bodies (AFBs) can be removed by flexible bronchoscopy (FB) or rigid bronchoscopy (RB). We performed a retrospective analysis of FBs performed in our centre over a 25 year period, focusing on the procedures that revealed an AFB during the examination stage. We recorded demographic data, clinical characteristics and radiological and bronchoscopic findings. During the study period, 12,588 FBs were performed in adults. Airway foreign bodies were identified in 32 of these cases, giving a prevalence of 0.25%. The most frequent clinical presentation was cough, sputum and fever. The most frequent radiological findings were alveolar infiltrates and atelectasis. In 94% of cases, AFBs were removed successfully by FB; RB was necessary in only 6% of cases. There were no FB-related complications. The most common AFB location was the right bronchial tree (69%). We classified AFBs as organic (85%: animal 57%; vegetable 28%), inorganic (6%) and iatrogenic (9%). Bronchial infection occurred in 51% of cases, and Actinomyces spp. was the most common causal microorganism. In conclusion, AFBs are a rare entity with nonspecific clinical presentation, most AFBs were organic, and FB is a safe and effective method for AFB removal.

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Section: Discussionmentioning

confidence: 88%

“…The use of FB quickly extended for this indication with case series recording its success [3,10]. In recent years, researchers have explored the use of FB as the method of choice for AFB removal in adults [11].…”

Section: Introductionmentioning

confidence: 99%

Utility of Flexible Bronchoscopy for Airway Foreign Bodies Removal in Adults

Sancho-Chust

Molina

Vañes

et al. 2020

JCM

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“…En el caso de nuestra paciente se evaluó la vía aérea por broncoscopia flexible y después mediante broncoscopio rígido se realizó la extracción del cuerpo extraño sin ninguna complicación, con lo cual se pudo evaluar las condiciones de la tráquea y bronquios para descartar lesiones o estenosis. 8 Las complicaciones que se pueden presentar en estos pacientes van desde atelectasias y neumonías hasta lesiones y estenosis del bronquio cuando pasan muchos días con el objeto, en este contexto algunas veces se requiere cirugía para su extracción. En el caso de la paciente se detectó de manera oportuna y se realizó la extracción de manera temprana.…”

Section: A B Cunclassified

Aspiración de proyectil de arma de fuego. Un caso poco frecuente en trauma

Vázquez-Minero¹,

Villalba-Calderón²,

Vera-Márquez³

et al. 2021

NCT Neumología Y Cirugía De Tórax

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RESUMEN.Las heridas por arma de fuego en la actualidad son cada vez más frecuentes como consecuencia de la violencia urbana. La migración de los proyectiles a la luz de la vía aérea es muy poco frecuente y requieren de un manejo multidisciplinario. Se trata del caso de una mujer de 38 años agredida por terceras personas, con múltiples heridas por arma de fuego en rostro y cráneo que presenta proyectil inicialmente en cara, el cual posteriormente es aspirado a la vía aérea requiriendo su extracción por broncoscopia. Este tipo de pacientes requieren el manejo de varias especialidades para la resolución del problema.Palabras clave: Cuerpo extraño, vía aérea, trauma facial, herida por arma de fuego.ABSTRACT. Gunshot wounds are now becoming more frequent as a result of urban violence. Projectile migration to the lumen of the airways is very rare and requires multidisciplinary management. This is a case of a 38-year-old woman attacked by third parties, with multiple gunshot wounds to the face and craneum that initially presents a projectile in the face, which is subsequently aspirated into the airway requiring its extraction by bronchoscopy. This type of patient requires the management of several specialties to solve the problem.

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A complicated cockroach‐ectomy

Vazirani

Stirling

2018

Respirology Case Reports

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The exact incidence of foreign body aspiration among adults is unknown, and its clinical presentation is vastly divergent. We report the previously undescribed occurrence of cockroach aspiration in an adult, presenting with a “crawling sensation” in his chest. Flexible endobronchial examination revealed a foreign body impacted in the lingula, resembling the Australian cockroach Periplaneta australasiae. Partial extraction via biopsy forceps was performed and complicated by acute hypoxia on disimpaction, requiring a brief period of bag/mask ventilation. Following the offset of procedural sedation, the remaining foreign body was manually expectorated. A total of 24 h post‐procedure, the patient was febrile with positive blood cultures (Micrococcus luteus). We highlight the importance of definitive airway support during endobronchial interventions and raise the question regarding the significance of transient bacteraemia following bronchoscopic manipulation.

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La fibrobroncoscopia en la extracción de cuerpos extraños traqueobronquiales en adultos

Cited by 29 publications

References 20 publications

Utility of Flexible Bronchoscopy for Airway Foreign Bodies Removal in Adults

Utility of Flexible Bronchoscopy for Airway Foreign Bodies Removal in Adults

Aspiración de proyectil de arma de fuego. Un caso poco frecuente en trauma

A complicated cockroach‐ectomy

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