Retrieval of foreign body bronchus in paediatric age group: a challenge

Abstract

<p>Foreign body (FB) aspiration can be a cause of serious morbidity and occasional mortality in pediatric population. Sometimes the diagnosis is delayed when the history of FB aspiration is not forthcoming, not witnessed or when parents fail to appreciate the symptoms. Unless there is a high degree of suspicion these cases may easily be missed and may be treated for a prolonged duration as upper respiratory tract infection (URTI) or pneumonia. A careful history plus a high degree of clinical suspicion is crucial. Involvement of other specialties is the key to diagnose and remove a FB from airway successfully. We present a case series of three cases of FB bronchus and challenges faced during their retrieval. The aim of this report is to highlight the importance of history taking, meticulous preparation, and precision required to remove a foreign body bronchus.</p>

Inhaled open safety pin: a challenging case

“…Rigid bronchoscopy was performed to check for any remaining part of the foreign body and injuries caused by the lodgment of foreign body. Hence, it is imperative to have a detailed discussion of procedural plan between the surgeon and anesthesiologist for a satisfactory outcome of the procedure [ 9 ]. Our patient had an uneventful post-operative outcome, which highlights the importance of early presentation and prompt surgical intervention in the management of airway foreign bodies in children.…”

“…As the airway in children is of very small caliber, it warrants some degree of skill and composure to negotiate rigid bronchoscope and proceed with the manipulation and removal of foreign body. [ 9 ] Utmost care is to be depicted when the surgeon is dealing with a sharp metallic foreign body in the airway as its removal can be tedious with significant post-operative complications. Herein, we present a case of a female child with sharp metallic foreign body in the airway who underwent an uncomplicated direct laryngoscopy-guided foreign body removal within hours of aspiration.…”

Estilo de vida do profissional de enfermagem e principais fatores de risco relacionados ao desenvolvimento das neoplasias malignas: uma revisão integrativa

“…[2][3][4][5][6] Houve pequena predominância dos corpos estranhos aspirados na arvore brônquica direita, fato compatível com a literatura , haja visto nas crianças o brônquio fonte direito não se encontrar verticalizado em relação a traqueia e possuir calibre semelhante ao esquerdo; fazendo com que os corpos estranhos aspirados se distribuam de forma equivalente na arvore brônquica. 5,12,14 O quadro clínico depende do grau de obstrução das vias aéreas e do tipo do CE;neste trabalho as queixas de tosse e dispnéia após engasgo, foram as mais relatadas na ACE, semelhante a literatura. [2][3][4][5][6][7][8][9] Em nosso estudo 8,8% dos pacientes estavam assintomáticos no momento de chegada ao hospital.…”

Aspiração de corpos estranhos em pediatria

“…[2][3][4][5][6] Houve pequena predominância dos corpos estranhos aspirados na arvore brônquica direita, fato compatível com a literatura , haja visto nas crianças o brônquio fonte direito não se encontrar verticalizado em relação a traqueia e possuir calibre semelhante ao esquerdo; fazendo com que os corpos estranhos aspirados se distribuam de forma equivalente na arvore brônquica. 5,12,14 O quadro clínico depende do grau de obstrução das vias aéreas e do tipo do CE;neste trabalho as queixas de tosse e dispnéia após engasgo, foram as mais relatadas na ACE, semelhante a literatura. [2][3][4][5][6][7][8][9] Em nosso estudo 8,8% dos pacientes estavam assintomáticos no momento de chegada ao hospital.…”