Foreign Body Aspiration Research Articles

Acute Onset Dysphagia: Using Awake Fiberoptic Techniques to Avoid an Airway Disaster

Clinically, foreign body ingestion and aspiration can be difficult to differentiate from one another. Distinguishing the nuances in clinical presentation is important. Misdiagnosis can lead to catastrophic outcomes. Objects in the aerodigestive tract can become easily dislodged and travel into the airway if the wrong therapeutic intervention is performed.

Boy With Wheezing

An 18-month–old boy presented with wheezing, cough, and concern for foreign body aspiration. His mother reported that he was chewing on a crayon 2 days prior and had a choking episode. He had no medical history. At presentation, he was tolerating oral intake and did not have vomiting or drooling. His vital signs were normal. On examination, he had expiratory wheezing on the right and mild subcostal retractions. Radiographs were obtained (Figures 1 to 4).

HASTANEMİZDE ÇOCUKLUK ÇAĞI YABANCI CİSİM ASPİRASYONLARINDA ANESTEZİK YAKLAŞIM

AMAÇ: Yabancı cisim aspirasyonları her yaşta görülebilmekle beraber pediatrik hastalarda önemli bir mortalite ve morbidite sebebidir. Anestezi tercihi hafif sedasyondan genel anesteziye kadar değişebilmektedir. Bu çalışmamızda yabancı cisim aspriasyonu nedeniyle anestezi uyguladığımız pediatrik vakalar incelenerek, yaş, cinsiyet, aspire edilen cisimlerin hastaneye yatış ve mortalite açısından farklılıkları analiz edildi.GEREÇ VE YÖNTEM: Ocak 2018 - Aralık 2020 tarihleri arasında 3 yıllık bir dönemde Çocuk Cerrahisi Kliniği tarafından yabancı cisim aspirasyonu opere edilen pediatrik vakalar retrospektif olarak analiz edildi. Toplam 46 hasta çalışmaya dahil edildi. Hastalarda yaş, cinsiyet, hastaneye başvuru şikayetleri, preoperatif geçen süre, aspire edilen cisimlerin niteliği ve yerleşimi, uygulanan tedavi yöntemleri, anestezi süresi, perioperatif komplikasyonlar, yatış süresi ve mortalite parametreleri incelendi.BULGULAR: Hastaların % 39,1’i kız, % 60,9’u erkek, yaş ortalamaları 33,47 ± 39,72 ay idi. Aspire edilen materyallerin çeşitlilik göstermekle birlikte en çok aspire edilen materyal % 43,5 oranında kuruyemişti. Tüm hastalarda intravenöz anestezikler ve kontrollü ventilasyon uygulanıldı. Hastaların % 76,1’inde komplikasyon gözlenmezken, % 10,9’unda bronkospazm, % 13’ünde geç uyanma gözlendi. Hastaların ameliyat sonrası % 89,1 servise çıkarken, bronkospazm gelişen % 10,9 hasta yoğun bakımda izlendi.SONUÇ: Bir yaşın altındaki ve üstündeki aspirasyon vakalarında komplikasyonlar ve hastenede kalış süreleri değişmemektedir. Hastalarda anestezi tercihi hasta bazlı düşünülmesi gereken bir durumdur. Çalışmamızın sonuçlarına göre intravenöz – inhalasyon anestezisi ve kontrollü ventilasyonda anestezi tercihin de dikkate alınması gereken bir seçenektir.

Nose stud screw aspiration– A tiny foreign body with potentially huge disaster: 2 cases with different ways of retrieval

Foreign body aspiration refers to accidental inhalation of foreign body into the respiratory tract. More commonly observed in children, foreign body aspiration is less common in adults. Traditionally observed amongst Indian women, nose piercing and jewelleries are gaining popularity in various communities for the past decade. Aspiration of tiny nose jewelleries such as nose stud screws is a serious and potentially fatal event. Small foreign bodies may dislodge further into the subsegmental bronchus, rendering bronchoscopic retrieval technically challenging. Herein, we report the first 2 cases of nose stud screw aspiration. Both of our patients were asymptomatic. Both foreign bodies were successfully retrieved via bronchoscopy using different tools and methods.

FOREIGN BODY ASPIRATION AND FINDING THE (SALINE) SOLUTION: A CASE OF SALINE VIAL ASPIRATION IN A LARYNGECTOMIZED PATIENT AMPULE-IFYING THE IMPORTANCE OF PREVENTION

FOREIGN BODY ASPIRATION AND FINDING THE (SALINE) SOLUTION: A CASE OF SALINE VIAL ASPIRATION IN A LARYNGECTOMIZED PATIENT AMPULE-IFYING THE IMPORTANCE OF PREVENTION

SUCH A TWEEZE: BRONCHOSCOPE-MEDIATED EXTRACTION OF ASPIRATED FOREIGN BODY

SUCH A TWEEZE: BRONCHOSCOPE-MEDIATED EXTRACTION OF ASPIRATED FOREIGN BODY

ROLE OF DEBULKING FOR BENIGN ENDOBRONCHIAL LESIONS: A CASE OF CHRONICALLY ASPIRATED FOREIGN BODY PRESENTING AS NECROTIZING PNEUMONIA

ROLE OF DEBULKING FOR BENIGN ENDOBRONCHIAL LESIONS: A CASE OF CHRONICALLY ASPIRATED FOREIGN BODY PRESENTING AS NECROTIZING PNEUMONIA

LIMITATIONS OF RADIOGRAPHIC IMAGING IN DIAGNOSING FOREIGN ORGANIC MATTER ASPIRATION

LIMITATIONS OF RADIOGRAPHIC IMAGING IN DIAGNOSING FOREIGN ORGANIC MATTER ASPIRATION

ACCIDENTAL ASPIRATION AFTER INTENTIONAL INGESTION OF A NAIL IN A YOUNG FEMALE

ACCIDENTAL ASPIRATION AFTER INTENTIONAL INGESTION OF A NAIL IN A YOUNG FEMALE

TOOTH IN THE LUNG: CASE REPORT OF A TOOTH ASPIRATED DURING DENTAL EXTRACTION

TOOTH IN THE LUNG: CASE REPORT OF A TOOTH ASPIRATED DURING DENTAL EXTRACTION

A TRACHEAL FIBROEPITHELIAL POLYP

A TRACHEAL FIBROEPITHELIAL POLYP

Respiratory Distress in the Pediatric ED: A Case-based Self-directed Learning Module.

Emergency medicine residents, pediatric residents on an EM rotation. Emergency medicine residents are expected to recognize and treat patients of all ages and diseases of all varieties, yet most education and training is focused on the adult patient. Exposure to pediatrics is generally integrated into training across all years of residency, but time spent in the pediatric emergency department is still a small portion of resident education. This module aims to enhance the ability of the emergency medicine residents to recognize and treat respiratory distress in children, one of the most common presenting chief complaints in the pediatric population, by integrating the concepts of case-based learning, self-directed learning and self-testing. By the end of this module, learners will be able to: 1) recognize the unique pathophysiology for respiratory distress in the pediatric population and formulate a broad differential; 2) understand the treatment principles for the most common causes of respiratory distress in children; 3) navigate and apply validated clinical decision-making tools for treatment of pediatric respiratory illnesses. A learning module consisting of six clinical vignettes based on the most common causes of respiratory distress in children, with associated self-test questions, and key learning concepts was created for resident education. This module was a self-directed PowerPoint slideshow with embedded questions and links to evidence-based clinical decision-making tools. A survey was created to gauge the residents' perceptions of the learning module and its usefulness in their learning. Twenty (30%) residents used this module and took the survey. Ninety percent of respondents felt more comfortable managing respiratory distress in children after completing this module. Ninety-five percent of respondents felt they had sufficient knowledge of the topic after completing the module and would like to have more modules such as this one on other topics. Residents indicated in the survey that the module enhanced their knowledge and comfort with clinical practice. This unique learning module integrates basic and clinical sciences and utilizes many different learning concepts to engage and motivate the adult learner. The module may also be re-created in order to cover other similar topics as a supplement to resident education. Pediatrics, respiratory, infectious disease, asthma, croup, anaphylaxis, foreign body aspiration, bronchiolitis, laryngomalacia.

Foreign body aspiration: approach and therapeutic management

Foreign body aspiration represents one of the main causes of rising morbidity and mortality in children, mostly for the toddlers’ category of age. Both acute and silenced manifestation of this phenomena determines an immediate attitude in the management of the child in question. We present you a clinical case of a 2 years and 8 months old patient, diagnosed with sunflower seed coat aspiration, through flexible bronchoscopy. The implemented treatment consisted in rigid bronchoscopy and extraction of the foreign body.

Different Modalities Used in the Art of Managing Tracheobronchial Foreign Bodies.

Foreign body aspiration is a commonly encountered and challenging emergency. Foreign body aspiration causes significant morbidity and mortality in the paediatric population. In adults, it is usually encountered in patients with impaired consciousness and in young females using pins to secure their veils. We aimed to analyse the incidence, type and site of foreign body, radiological presentation, complications and different modalities used in managing tracheobronchial foreign bodies (FBs). A prospective single centre cross-sectional study between December 2010 and December 2011 in the Department of Cardiothoracic Surgery at the University of Alexandria, Egypt. Seventy-eight patients were included. The age of the patients ranged between 1.3 and 32 years, with a mean of 13.37± 7.67 years. Inorganic FBs were the most common aspirated FBs (66 patients, 84.62%). FBs were more frequently located in the left versus the right bronchial tree (44.9% vs. 43.6%). Rigid bronchoscopic extraction of foreign bodies was the most common modality of extraction and was seen in 60 patients (76.9%), followed by thoracotomy and postural drainage in eight patients each (10.3%). Complications were observed in 12 patients (15.4%). Most of the patients who presented with pin aspiration were teenagers (> 10 - 20 years) and adults (> 20 years). At the same time, nut aspiration was common in children below 10 years. The location of FBs in the tracheobronchial tree depends on the patient's age and physical position at the time of aspiration. Rigid bronchoscopy offers better manipulations inside a secured airway and is the preferred method for foreign body removal. If failed, then surgical extraction should be done as soon as possible.

Obstructive pneumonia caused by Gordonia bronchialis with a bronchial foreign body

A 68-year-old man who was an ex-smoker with 35 pack-years presented with a 9-month history of cough. He was previously diagnosed with intraductal papillary neoplasm of the pancreas but did not have other diseases or conditions associated with immunosuppression. Chest computed tomography revealed infiltrations in the right lower lung (Figure 1a). Fiber-optic bronchoscopy revealed a bronchial foreign body with yellow sputum in the right lower lobe bronchus (Figure 1b), confirming obstructive pneumonia secondary to bronchial foreign body aspiration.

Study on dysphagia disorders in acute stroke patients at Can Tho Central General Hospital in 2021-2022

Background: Acute cerebral stroke is a topical issue because of its high morbidity, mortality, and disability rates. Dysphagia disorder is a symptom of stroke leading to aspiration of a foreign body, causing aspiration pneumonia. Detect and control swallowing disorders in stroke patients to improve complications of aspiration pneumonia and problems related to swallowing disorders. Objectives: To determine the prevalence and severity of swallowing disorders of acute stroke patients in Can Tho Central General Hospital from 2021 to 2022. Materials and methods: A cross-sectional descriptive study was conducted on 130 patients diagnosed with an acute cerebral stroke at Can Tho Central General Hospital in 2021-2022. Results: Through a survey of 130 acute stroke patients at Can Tho Central General Hospital, we found that the average age of patients was 65.4±12.42, in which the male/female ratio was 1.6. The majority of patients are in rural areas, 73.8%. The patients with Glasgow scores from 12-14 accounted for 50.8%. The patients with a level of NIHSS from 5-15 points accounted for a high rate of 86.9%, and severe level >15 points had 8.5%. There were 105 patients with a swallowing disorder, accounting for 80.8%; Swallowing disorder with mild degree 58.5% accounted for many, and moderate level 18.5%. There were 29 patients with aspiration, accounting for 22.3%. Conclusion: Evaluate swallowing disorders in patients with acute stroke, make appropriate dietary recommendations, to reduce aspiration of foreign bodies causing aspiration pneumonia.

The illuminated airway: flexible bronchoscopic removal of an aspirated LED bulb in an adolescent boy

BackgroundForeign body aspiration is a common but serious pediatric medical emergency. A high index of suspicion, timely diagnosis and early bronchoscopic intervention can be life-saving in most cases.Case presentationWe report the case of a 12-year-old boy who was symptomatic with recurrent chest infections for the last 3 years. Imaging identified a radio-opaque FB in the left mainstem bronchus. Subsequently, flexible bronchoscopic evaluation was performed under general anesthesia using laryngeal mask airway, and a light-emitting diode bulb was retrieved using flexible biopsy forceps.ConclusionThe case highlights aspiration of a rare foreign body that went unnoticed for a long duration in a relatively higher pediatric age group child, and also emphasizes the role of bronchoscopy in managing the condition.

A study of upper aerodigestive tract in foreign bodies in a tertiary care hospital

Background : While foreign body ingestion and aspiration can happen to anybody at any age, children under the age of five make up the great majority of these mishaps. Foreign bodies in the airway, pharynx, and oesophagus continue to be a diagnostic and therapeutic challenge for practising otolaryngologists .Objectives:To find out the aetiology and prevalence of upper aerodigestive tract foreign bodies. Materials and Methods : The present prospective study was done by the Department of ENT at Chamarajanagara institute of Medical Sciences, Chamarajanagara from July 2021 to December 2021. All the patients with complains of upper Aero digestive tract foreign body during the study period were included in the study . A total of 175 study subjects were enrolled in the study during the study period. Results : In the present study the location of the foreign body was found to be in the Airway tract in 46.8% of the subjects and 53.2% of them in the digestive tract. In the digestive tract 63.4% was at the cricopharynx, 19.4% in oropharynx, 8.6% in mid and lower oesophagus,7.5% in posterior pharyngeal wall .

Double Aortic Arch as a Rare Condition in a 10-year-old Boy with Recurrent Pneumonia: A Case Report Study

Introduction: A double aortic arch (DAA) is a congenital anomaly of the aortic arch, which is also the most common type of complete vascular ring. This vascular ring can compress the trachea and esophagus, as well as cause respiratory, gastrointestinal, and cardiac symptoms. Case Presentation: In the present case report, a 10-year-old boy with recurrent cough, fever, shortness of breath, chest pain, and a history of recurrent respiratory infections was examined. According to the results of bronchoscopic evaluation, he was found to have a localized tracheomalacia. DAA and dextrocardia condition were also confirmed for this patient by performing a computed tomography angiography of the thorax and the three-dimensional reconstruction of CT angiography. Conclusions: The diagnosis of double aortic arch may be confused with upper respiratory tract infections or foreign body aspiration. Therefore, it was recommended that a particular attention should be paid to the double aortic arch when evaluating cases of stridor in children with unknown causes or recurrent respiratory infections. CT angiography and cardiac MRI were the diagnostic methods of choice for examining vascular rings.

COVID-19 pandemic and lockdown: what has changed in common home accidents such as foreign bodies and corrosive injuries?

BackgroundCOVID-19 pandemic greatly affected our lives in all areas. Due to the social isolation policies implemented during this period, the majority of parents and all school-age children spent their lives at home. This study aims to investigate the effects of pandemic and isolation on home accidents treated in our center.MethodsForeign body ingestion (gastric foreign bodies: G.FB), foreign body aspiration (respiratory foreign bodies: R.FB), and corrosive substance (CS) ingestion cases admitted to our hospital between March 11, 2019, and March 10, 2021, were retrospectively analyzed. Demographic data, type and cause of home accidents, the time of the accident and the admission to the hospital, the location of the foreign body, and the follow-up data were recorded. The patients were divided into two groups: the pre-pandemic period (11 March 2019–10 March 2020) and the COVID pandemic period (11 March 2020–10 March 2021), and the data were evaluated between two groups as < 6 years old and 6–18 years old.ResultsDuring the 2 years, a total of 982 patients were admitted to our hospital for G.FB, R.FB, or CS. Four hundred and eighty-three of them (49.2%) were in the pre-pandemic period and 499 (50.8%) were in the pandemic period (p = 0.206). The mean age of the patients was 3.63 ± 3.32 years; 82.4% of the patients in the pre-pandemic group and 85.4% of the patients in the pandemic group were children < 6 years old. While the F/M ratio was 1/1.5 during the pre-pandemic period, it was 1/1.1 during the pandemic period. Of the cases, 73.3% were G.FB, 4.6% were R.FB, and 22.1% were CS. Almost half of the accidents occurred between the hours of 16 and 24. During the pandemic period, the accidents increased to occur between 0 and 8 am in children < 6 years old, and between 8 am and 4 pm in children 6–18 years old (p = 0.003). All of the home accidents in the 6–18 age group between 0 and 8 o'clock were girls (p < 0.0001). During the pandemic period, the frequency of button batteries and food products increased in G.FB. Also, the frequency of R.FB increased significantly (p = 0.006) and the most common R.FB was the food products. The frequency of CS increased in girls during the pandemic period, and CSs were brought to the hospital in a shorter time after the accident during the pandemic period (p = 0.007).ConclusionsIt can be thought that the main reason why home accidents are common in the 0–6 age group is due to the developmental characteristics of the child rather than the longer time spent at home. The pandemic and isolation increase the frequency of foreign body aspirations and home accidents in girls.