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Management of tracheo-bronchial foreign bodies in children
T M Sisenda1, B O Khwa-Otsyula, J O Wambani
1Department of Surgery, Faculty of Health Sciences, Moi University, PO Box 4606, Eldoret, Kenya.
Insights
Foreign bodies in the pediatric tracheobronchial tree cause significant morbidity and mortality. In resource-limited settings, thoracotomy can be a life-saving intervention when equipment is inadequate.
Area of Science:
- Pediatric Surgery
- Respiratory Medicine
- Anesthesiology
Background:
- Foreign bodies in the tracheobronchial tree pose a serious health risk to young children.
- Management strategies vary, especially in resource-limited environments.
- Understanding outcomes of different interventions is crucial for improving patient care.
Purpose of the Study:
- To review alternative surgical and anesthetic management options for tracheobronchial foreign bodies.
- To focus on children under 10 years of age.
- To assess outcomes in a specific healthcare setting.
Main Methods:
- Retrospective analysis of secondary data over a five-year period.
- Data collected from three hospitals in Eldoret Municipality, Kenya.
- Evaluation of morbidity and mortality rates as primary outcome measures.
Main Results:
- Thirty-two children were included in the study.
- Bronchoscopy was performed in 74.1% of cases, while thoracotomy was used in 25.9%.
- The overall mortality rate was 3.3%.
Conclusions:
- Tracheobronchial foreign bodies are a significant cause of morbidity and mortality in children under 10.
- Inadequate equipment settings, prompt thoracotomy can be life-saving.
- This highlights the importance of accessible surgical interventions in diverse healthcare contexts.
Objectives:
To review alternative surgical and anaesthetic options in the management of foreign bodies lodged in the tracheobronchial tree in children aged below 10 years.
Design:
A five year retrospective secondary data analysis.
Setting:
Three hospitals based in Eldoret Municipality, Kenya.
Main Outcome Measures:
Outcome variables included morbidity and mortality.
Results:
Of the thirty two children studied, 74.1% had bronchoscopy and 25.9% thoracotomy. The overall mortality rate was 3.3%.
Conclusion:
Foreign bodies in the tracheo-bronchial tree are a major cause of morbidity and mortality in children aged below 10 years. In settings where appropriate equipment is inadequate, timely thoracotomy may be life saving.