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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

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Published on: September 11, 2018

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A single-center experience of pediatric foreign-body aspiration: A retrospective 4-year case series

Mustafa Erman Dorterler1, Osman Hakan Kocaman1, Tansel Gunendi1

  • 1Department of Pediatric Surgery, Faculty of Medicine, Harran University, Şanlıurfa, Turkey.

Lung India : Official Organ of Indian Chest Society
|April 30, 2019
PubMed

Insights

Foreign body aspiration (FBA) in children is a critical condition. Early bronchoscopic intervention with safe anesthesia and controlled ventilation significantly improves outcomes for pediatric FBA patients.

Area of Science:

  • Pediatric Pulmonology
  • Pediatric Emergency Medicine
  • Otolaryngology

Background:

  • Foreign body aspiration (FBA) in children presents a life-threatening emergency requiring prompt medical intervention.
  • This retrospective study analyzes the demographic, diagnostic, and therapeutic aspects of pediatric FBA cases.

Purpose of the Study:

  • To investigate the demographic characteristics of children with FBA.
  • To review the clinical diagnosis and treatment methods employed for FBA in pediatric patients.

Main Methods:

  • Retrospective analysis of 86 children (<16 years) diagnosed with tracheobronchial FBA (Jan 2013-Dec 2017).
  • Diagnosis involved chest radiography and multi-slice chest CT when indicated.
  • Treatment utilized rigid bronchoscopy under sevoflurane and propofol anesthesia with controlled ventilation.

Main Results:

  • The mean age of patients was 3.17 years, with 55.8% being male.
  • Nuts (peanuts, hazelnuts) were the most common aspirated foreign bodies (70%).
  • Obstructive emphysema was the most frequent radiographic finding (51%); 41% of foreign bodies were located in the main bronchi.

Conclusions:

  • Prevention remains the primary strategy for FBA.
  • For patients undergoing bronchoscopy for FBA, controlled ventilation and appropriate general anesthesia are crucial.
  • Timely bronchoscopic intervention, coupled with safe anesthesia and ventilation, enhances treatment success rates in pediatric FBA.
Abstract

Keywords:
Bronchoscopychildrenforeign-body aspirationpeanut

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