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Successful Management of Airway and Esophageal Foreign Body Obstruction in a Child

Naoki Yogo1, Chiaki Toida1, Takashi Muguruma1

  • 1Department of Emergency Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

Case Reports in Emergency Medicine
|January 18, 2020
PubMed

Insights

Foreign body asphyxia in children can lead to cardiac arrest. Prompt airway and esophageal foreign body management can result in a favorable neurological outcome, even after out-of-hospital cardiac arrest (OHCA).

Area of Science:

  • Pediatric Emergency Medicine
  • Critical Care
  • Toxicology

Background:

  • Foreign body asphyxia presents a significant clinical challenge, particularly in young children, due to high risks of aspiration and potential for severe outcomes.
  • Pediatric out-of-hospital cardiac arrest (OHCA) outcomes are often poor, especially when related to airway obstruction.

Observation:

  • A rare pediatric case involving asphyxial OHCA caused by airway-obstructing foreign bodies, compounded by an esophageal foreign body, is presented.
  • The patient, a child, experienced a neurologically favorable recovery despite the severe initial presentation.

Findings:

  • Successful management of airway and esophageal foreign bodies is crucial for improving outcomes in pediatric asphyxia.
  • Prompt and effective intervention in cases of foreign body obstruction can mitigate the severity of OHCA and enhance neurological recovery.

Implications:

  • This case underscores the critical importance of timely and adequate treatment protocols for pediatric OHCA.
  • Highlights the necessity for efficient diagnostic and therapeutic strategies for airway and esophageal foreign bodies in children to prevent catastrophic outcomes.

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