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Published on: January 17, 2011
A Pediatric Case of Esophageal Foreign Body Removal Facilitated by Structured Briefing and Shared Visualization Using
1Department of Pediatrics, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JPN.
Insights
Foreign body ingestion, often coins, requires prompt removal in children. A video laryngoscope and structured debriefing aided successful esophageal coin removal, enhancing safety and learning.
Area of Science:
- Pediatric Emergency Medicine
- Gastroenterology
- Otolaryngology
Background:
- Foreign body ingestion is a frequent pediatric emergency, with coins being common culprits.
- Esophageal coin impaction necessitates urgent intervention to prevent serious complications like perforation and airway compromise.
Abstract:
Foreign body ingestion is a common pediatric emergency, and coins are among the most frequently ingested objects. When a coin becomes lodged at the pharyngoesophageal junction, prompt removal is required to avoid perforation, mucosal injury, and airway compromise. We report the case of a five-year-old boy with a coin impacted in the upper esophagus at the level of the cricopharyngeus, successfully removed under general anesthesia using a video laryngoscope and Magill forceps without major complications. This case highlights two key educational points. First, the use of a video laryngoscope allowed the operator and supervisor to share the same view in real time, enabling immediate intraoperative guidance. Second, a structured pre-procedural briefing appeared to enhance intraoperative team performance, and a post-procedural debriefing appeared to reinforce learning outcomes. This case suggests that a structured educational approach, combined with shared visualization, may facilitate both safe management and effective teaching of infrequently performed procedures.
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