Management of Foreign Bodies Obstructing the Airway in Children

Shah, Rahul K.; Patel, Anju K.; Lander, Lina; Choi, Sukgi S.

doi:10.1001/archoto.2010.38

Cited by 60 publications

(72 citation statements)

References 10 publications

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“…Previous investigations that included both food and nonfood items have typically reported a younger mean age; the most hazardous age range for chokingrelated injuries is reportedly younger than 3 or 4 years, 1,[4][5][6]11,12,15 with several studies finding more than one-half of patients to be aged ,2 years. 1,14,18 In the current study, ∼62% of all nonfatal cases occurred among children aged ,4 years. Compared with older children, those ,4 years of age are at greater risk of food-related choking.…”

Section: Discussionmentioning

confidence: 49%

“…This higher frequency among males is similar to that observed in previous studies, including both fatal and nonfatal food-related choking episodes. 1,2,14,18 The mean age for choking on foods in this study was 4.5 years. Previous investigations that included both food and nonfood items have typically reported a younger mean age; the most hazardous age range for chokingrelated injuries is reportedly younger than 3 or 4 years, 1,[4][5][6]11,12,15 with several studies finding more than one-half of patients to be aged ,2 years.…”

Section: Discussionmentioning

confidence: 70%

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Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: In 2001, an estimated 10 438 children were treated in US emergency departments for nonfatal choking on food. The foods most frequently associated with pediatric fatal choking are hot dogs, seeds, nuts, candy, and certain types of fruits and vegetables.WHAT THIS STUDY ADDS: From 2001 through 2009, an estimated annual average of 12 435 children ages 0 to 14 years were treated in US emergency departments for nonfatal choking on food; 0-to 4-year-olds accounted for 61.7% of episodes. Foods most frequently involved were candy, meat, bone, and fruits/vegetables. abstract OBJECTIVE: The objective of this study was to investigate the epidemiology of nonfatal choking on food among US children. METHODS:Using a nationally representative sample, nonfatal pediatric choking-related emergency department (ED) visits involving food for 2001 through 2009 were analyzed by using data from the National Electronic Injury Surveillance System-All Injury Program. Narratives abstracted from the medical record were reviewed to identify choking cases and the types of food involved.RESULTS: An estimated 111 914 (95% confidence interval: 83 975-139 854) children ages 0 to 14 years were treated in US hospital EDs from 2001 through 2009 for nonfatal food-related choking, yielding an average of 12 435 children annually and a rate of 20.4 (95% confidence interval: 15.4-25.3) visits per 100 000 population. The mean age of children treated for nonfatal food-related choking was 4.5 years. Children aged #1 year accounted for 37.8% of cases, and male children accounted for more than one-half (55. CONCLUSIONS: This is the first nationally representative study to focus solely on nonfatal pediatric food-related choking treated in US EDs over a multiyear period. Improved surveillance, food labeling and redesign, and public education are strategies that can help reduce pediatric choking on food. Pediatrics 2013;132:275-281 AUTHORS:

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 70%

Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009

et al. 2013

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“…(4) yaptıkları bir çalışmada, yabancı cisim aspirasyonu olan çocuklarda, hastanede ortalama yatış süresini üç gün ( 0-7) ve hasta başı ortalama maliyeti de 20,820$ olarak buldular. Yabancı cisim yutma ve aspirasyonlu olguların birlikte değer-lendirildiği başka bir çalışmada ise ortalama hastanede kalış süresi 11.7 gün, maliyet 34,652 $ olarak bulunmuştu (14). Çalışmamızda ise hastaların hastanede yatış süresi daha kısa olup 1,29 gün (0-7) olarak bulundu; ancak yatış maliyeti bu çalışmalara göre daha yüksek idi; 362,55 TL (278,2 -732,9) yaklaşık 145,02 $ olarak bulundu [1$ ≅ 2,5TL (15)].…”

Section: Discussionunclassified

A university experience in foreign body aspiration

Comba¹,

Yüce²,

Güzel³

et al. 2015

Turk J Ped Em Int Care Med

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A University Experience in Foreign Body AspirationÖZET Amaç: Yabancı cisim aspirasyonu, çocukluk çağında sık görülen ve hayatı tehdit eden ciddi bir durumdur. SUM M ARYObjective: Foreign body aspiration is a serious and potentially life-threatening condit ion, that is frequently seen in childhood Methods: The records of 33 patients who were diagnosed with foreign body aspiration in the pediatric emergency service of our hospital between 3 November 2004 an d 7 March 2011 were studied retrospectively, and t heir physical examination, laboratory and imaging ndings were recorded. The costs of the examinations and treatments were calculated. Results: The median age of the patients was 24 m onths (IQR 10-174). There were 19 girls (57,6%) and 14 boys (42,4%). The most frequently aspired foreign b odies were hazelnuts (n=9, 27,2%), sun ower seeds and needles (n=6, 18,2% for both). While bronchoscopy was performed on all patients, foreign body was found and taken out in 26 patients (78,8%). Average cost of the patients wit h foreign body aspiration was 362,5 (278-732) TL. Conclusion: Foreign body aspiration most frequently occurs from dried nuts and fruit in infancy and childhood. CAYD 2015;2(1):25-30.

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“…The mean age is 3 years and over 50% of cases are younger than 2 years of age. [12]. It was previously thought that death is extremely rare once the child with an AFB reaches hospital, but recent analysis of nearly 3000 cases of children admitted to hospital with airway obstruction caused by a AFB showed a hospital mortality rate of 3.4% [12].…”

Section: Airway Foreign Bodymentioning

confidence: 99%

Paediatric emergencies

McDougall

2012

Anaesthesia

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SummaryThe care of sick children can be challenging for the anaesthetist who is only involved in the occasional care of paediatric patients. This paper outlines the care of medical and surgical paediatric emergencies for which an anaesthetist working at a district general hospital or equivalent may encounter. Conditions discussed include paediatric respiratory emergencies, sepsis, status epilepticus, the acute abdomen in the newborn, intussusception, the bleeding tonsil, trauma and the child with burns.

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Management of Foreign Bodies Obstructing the Airway in Children

Cited by 60 publications

References 10 publications

Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009

Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009

A university experience in foreign body aspiration

Paediatric emergencies

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