Related Experiment Video
Updated: Sep 11, 2025
Employing the Forced Oscillation Technique for the Assessment of Respiratory Mechanics in Adults
Published on: February 9, 2022
Assessing process measures and practice variability in pediatric esophageal button battery cases: A
Anoosha Moturu1, Vanessa Thompson2, Catherine Grant2
1American College of Surgeons, Division of Research and Optimal Patient Care, Chicago, IL, USA; Stanford Healthcare, Stanford, CA, USA.
Esophageal button battery ingestion in children is a critical emergency. This study found that repeat imaging for referred patients and delayed postoperative esophagrams can prolong treatment times, highlighting areas for care improvement.
Area of Science:
- Pediatric Gastroenterology
- Emergency Medicine
- Surgical Quality Improvement
Background:
- Esophageal button battery (BB) ingestion is a rare but serious pediatric emergency.
- Timely intervention is crucial to prevent severe morbidity and mortality.
- The National Surgical Quality Improvement Program-Pediatric (NSQIP-Ped) offers data to assess care processes.
Purpose of the Study:
- To analyze esophageal BB process measure data from NSQIP-Ped.
- To identify variations in care delivery for pediatric esophageal BB ingestions.
- To pinpoint opportunities for enhancing patient care and outcomes.
Main Methods:
- Retrospective analysis of pediatric patients (0-17 years) with esophageal BB ingestion (Jan 2021-Dec 2023) using NSQIP-Ped data.
- Assessment of care timeliness, perioperative imaging, and intraoperative sterile acetic acid irrigation.
- Subgroup analysis of repeat imaging impact on intervention times.
Main Results:
- 86 patients from 28 institutions were analyzed.
- Median presentation-to-operation time was 98 minutes.
- Repeat imaging in referred patients significantly increased presentation-to-operation time (104 vs. 62 min, p=0.013).
- Sterile acetic acid irrigation was used in 70% of cases, with adequate volume in 87%.
Conclusions:
- Reducing repeat imaging for referred patients can expedite care.
- Optimizing postoperative esophagram timing is needed.
- Improving sterile acetic acid irrigation documentation and use can standardize care and reduce button battery ingestion morbidity.
More Related Videos
04:58Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation
Published on: August 25, 2022
08:22Measuring Cardiac Autonomic Nervous System ANS Activity in Toddlers - Resting and Developmental Challenges
Published on: February 25, 2016
Related Concept Videos
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
01:20Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation: