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Related Concept Videos

The Bronchial Tree01:23

The Bronchial Tree

The human bronchi and bronchial tree play a crucial role in the respiratory system, facilitating the exchange of oxygen and carbon dioxide. Let's delve into the intricate structure and functions of these respiratory components.
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
Anatomy of Respiratory System II: Lower Respiratory Tract01:31

Anatomy of Respiratory System II: Lower Respiratory Tract

The lower respiratory tract is anatomically composed of several vital structures, including the larynx, trachea, bronchial tree, alveoli, lungs, and pleurae. Each component has a specific function, and all are intricately connected to ensure efficient respiration.
The Larynx
It is located between the pharynx and the trachea, acts as a passageway for air, and hosts several critical structures, such as the epiglottis, vocal cords, and glottis. The epiglottis acts as a gateway, guiding food to the...
Microbiota of the Respiratory Tract01:29

Microbiota of the Respiratory Tract

The human respiratory tract, comprising the upper and lower segments, serves as a critical interface with the external environment. The upper respiratory tract (URT)—including the nostrils, sinuses, pharynx, and oropharynx—is heavily colonized by microbes, while the lower respiratory tract (LRT), composed of the larynx, trachea, bronchi, and lungs, was long thought to be sterile. However, recent molecular studies have revealed that the lungs are not devoid of microbes but act more like...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...

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Foreign body in tracheobronchial tree.

Vikas Sinha1, Rizwan Memon, Devang Gupta

  • 1Department of ENT and Head and Neck Surgery, B. J. Medical College (Civil Hospital), Ahmedabad, Gujarat, India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed
Summary

Foreign body aspiration in children is a serious emergency, with young boys being most vulnerable. Rigid bronchoscopy is a safe and effective treatment for this condition.

Keywords:
AspirationBronchoscopyTracheobronc hial foreign body

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Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Otolaryngology

Background:

  • Inhalation of foreign bodies into the tracheobronchial tree constitutes a medical emergency with a significant mortality rate.
  • Prompt diagnosis and intervention are crucial for managing foreign body aspiration, especially in pediatric patients.

Purpose of the Study:

  • To review cases of suspected foreign body aspiration in children.
  • To identify risk factors, common symptoms, clinical signs, and radiological findings associated with foreign body aspiration.
  • To evaluate the safety and efficacy of rigid bronchoscopy for foreign body removal.

Main Methods:

  • Retrospective review of 30 cases of suspected foreign body aspiration in children.
  • Diagnosis based on history, clinical examination, radiological evaluation, and clinical suspicion.
  • Treatment involved rigid bronchoscopy under general anesthesia with jet ventilation.

Main Results:

  • Children aged 6 months were most vulnerable, with a male predominance.
  • 80% of patients had a positive history of inhalation, but only 50% presented within 24 hours.
  • Common symptoms included cough and respiratory distress; decreased air entry was a significant clinical sign (50%).
  • Radiological findings of obstructive emphysema and mediastinal shift were observed in 50% of cases.

Conclusions:

  • Foreign body aspiration is a critical condition in children, particularly in those around 6 months of age.
  • Delayed presentation is common, highlighting the need for increased awareness among caregivers and healthcare providers.
  • Rigid bronchoscopy with jet ventilation is a safe and highly effective method for removing tracheobronchial foreign bodies.