Abstract
Foreign body asphyxia is a serious clinical problem with high morbidity and mortality rates. It is relatively common among children, especially those younger than 3 years, because they have a high risk of aspirating foreign bodies owing to their tendency to place objects in their mouth and lack of a well-developed swallowing reflex. Moreover, the neurologic outcome after out-of-hospital cardiac arrests (OHCA) in pediatric patients remains generally poor. Here, we report an unusual pediatric case of asphyxial OHCA caused by foreign bodies obstructing the airway, complicating esophageal foreign body, with a neurologically favorable outcome. This case highlights the importance of adequate treatment for pediatric patients with OHCA, as well as the prompt and efficient management for pediatric patients with foreign bodies obstructing the airway and esophagus.
Highlights
Asphyxia is the leading cause of out-of-hospital cardiac arrests (OHCA) due to external causes in Japan [1]
We report an unusual pediatric case of asphyxial OHCA caused by foreign bodies obstructing the airway, complicating esophageal foreign body, with a neurologically favorable outcome
We have reported a pediatric case of OHCA due to foreign bodies obstructing the airway, complicated by an esophageal foreign body, and with no subsequent neurological complications
Summary
Asphyxia is the leading cause of out-of-hospital cardiac arrests (OHCA) due to external causes in Japan [1]. The incidence rate of asphyxia as an external cause is lower than that of internal causes (71.5%) [2], foreign body asphyxia is a serious clinical problem with high morbidity and mortality rates. It is relatively common among children, especially those younger than 3 years, because they have a high risk of aspirating foreign bodies owing to their tendency to place objects in their mouth and lack of a well-developed swallowing reflex [3,4,5,6]. We report an unusual pediatric case of asphyxial OHCA caused by foreign bodies obstructing the airway, complicating esophageal foreign body, with a neurologically favorable outcome. This case report might be useful for fellow physicians to recognize the need to prepare a system of management, including medical staff education, to improve the outcomes of pediatric OHCA patients with both airway and esophageal foreign body obstruction
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