Related Experiment Video

Updated: Aug 18, 2025

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

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

10.9K

The management of children aged 0-5 years wıth suspected foreign body aspiration: a prospective study

Ahmet Gökhan Güler1, Ali Erdal Karakaya2, Mustafa Sabih Kaya2

  • 1Department of Pediatric Surgery, Faculty of Medicine, Kahramanmaras Sutcu Imam University, 46100, Kahramanmaras, Turkey. drgokhanguler@hotmail.com.

Pediatric Surgery International
|December 6, 2022
PubMed

Insights

A simple algorithm for pediatric bronchoscopy aids in diagnosing foreign body aspiration (FBA). Witnessing the event, absent unilateral respiratory sounds, and unilateral hyperventilation on X-ray are key indicators for FBA diagnosis in young children.

Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Diagnostic Imaging

Background:

  • Bronchoscopy is a crucial diagnostic tool for suspected foreign body aspiration (FBA) in children.
  • Developing a simplified algorithm can improve diagnostic accuracy and efficiency in very young patients.

Purpose of the Study:

  • To evaluate an algorithm for performing bronchoscopy in children aged 0-5 years with suspected foreign body aspiration.
  • To identify key clinical and radiological indicators for FBA in this age group.

Main Methods:

  • Retrospective analysis of 89 children (0-5 years) undergoing bronchoscopy for suspected FBA.
  • Categorization into FBA positive (55 patients) and FBA negative (34 patients) groups.
  • Statistical analysis to determine significant diagnostic parameters and outcomes.

Main Results:

  • Foreign body aspiration (FBA) was most common in the 1-2 year age group, primarily due to organic foodstuffs.
  • Witnessing the event (OR 12.133) and absent unilateral respiratory sounds (OR 7.556) were significant indicators.
  • Unilateral hyperventilation on X-ray was a highly significant diagnostic finding (OR 16.730).
  • Patients without FBA had shorter operating times and hospital stays.

Conclusions:

  • The presence of a witness, absence of unilateral respiratory sounds, and unilateral hyperventilation on X-ray suggest the need for bronchoscopy.
  • Bronchoscopy in FBA-negative children is associated with low complication rates, short operating times, and brief hospital stays.
Abstract

Keywords:
AsphyxiaBronchoscopyChildForeign bodies

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.7K
Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA04:56

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA

Published on: July 14, 2023

3.0K

Related Concept Videos

Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
54
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
314
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
699
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.3K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
44
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
430