Protecting Children as Feeding Skills Develop

2011 ◽  
Vol 20 (3) ◽  
pp. 88-93 ◽  
Author(s):  
Donna K. Edwards ◽  
Sara Marlise Martin
Keyword(s):  
Foreign Body ◽  
Evidence Based Practice ◽  
Pediatric Population ◽  
Foreign Body Aspiration ◽  
Evidence Based ◽  
Caregiver Education ◽  
Feeding Skills

The purpose of this brief review is to increase awareness of choking risk and foreign-body aspiration in children and to highlight important aspects of prevention and caregiver education. Food is one of the frequent culprits resulting in choking, morbidity, and even mortality in the pediatric population. This article examines the scope, intricacy, and complexity of reducing choking risk in the pediatric population and areas for further investigation to enrich evidence-based practice to enhance safety during feeding.

scholarly journals Risk Management and Recommendations for the Prevention of Fatal Foreign Body Aspiration: Four Cases Aged 1.5 to 3 Years and Mini-Review of the Literature

2020 ◽  
Vol 17 (13) ◽  
pp. 4700
Author(s):  
Angelo Montana ◽  
Monica Salerno ◽  
Alessandro Feola ◽  
Alessio Asmundo ◽  
Nunzio Di Nunno ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Population ◽  
Foreign Body Aspiration ◽  
Health Concern ◽  
Upper Airways ◽  
Significant Public Health Concern ◽  
Correct Execution ◽  
Significant Public Health ◽  
Free Environment

(1) Background: Foreign body aspiration (FBA) is a significant public health concern among the pediatric population, and fatalities are dramatic for families. It typically involves organic foreign bodies (mainly food) aspirated by children under three years old, usually at home or school. This review aimed to focus on the preventive measures around four actual cases of fatal foreign body aspiration, emphasizing the correct execution of the Heimlich maneuver and cardiopulmonary resuscitation, supervised mealtimes, and high-risk foods. (2) Methods: Four fatal cases of foreign body aspiration in children are presented here. The children were in a free environment, such as school, home, and the countryside, and were in the presence of teachers, parents, and a grandmother who did not supervise the children adequately. A literature review was performed via the MEDLINE database using the key terms: “foreign body aspiration,” “infant choking, 1.5 to 3 years,” “food and foreign body aspiration,” “common household,” “prevention of foreign body aspiration,” “guidelines,” “recommendations,” “training of caregivers (parents, educators),” “resuscitation,” “Heimlich maneuver,” and “disengagement of the upper airways.” We focused on the prevention of foreign body aspiration. (3) Results: a complete postmortem examination was performed. In three cases, the foreign bodies were food (mozzarella cheese, pear, or raw bean), while in one case, the foreign body was a pebble. (4) Conclusions: This review aimed to discuss recent scientific literature and provide a perspective on the benefits of a dedicated approach to the management of fatal foreign body aspiration in children by caregivers who usually have no experience with the best ways of supervising children in a safe environment, especially regarding the correct execution of resuscitation maneuvers, such as the Heimlich maneuver. Recommendation updates could improve healthcare quality in a pediatric setting and reduce medico-legal implications.

scholarly journals Broncoscopia urgente por aspiración de cuerpo extraño punzante en paciente pediátrico.

1970 ◽  
Vol 11 (5) ◽  
pp. 1
Author(s):  
Aida Fernández García ◽  
Gema Pino Sanz ◽  
Rubén Ferreras Vega ◽  
Manuel Romero Layos
Keyword(s):  
Foreign Body ◽  
Pediatric Patient ◽  
Clinical Case ◽  
Pediatric Population ◽  
Anesthetic Management ◽  
Foreign Body Aspiration ◽  
Sharp Foreign Body ◽  
Cuerpos Extraños

La aspiración de cuerpos extraños en niños es una urgencia frecuente y potencialmente grave. A través de un caso clínico,  se revisa el manejo anestésico de la broncoscopia urgente tras broncoaspiración en paciente pediátrico, el tipo de anestesia más adecuada y modo ventilatorio, así como sus complicaciones. ABSTRACT Emergency bronchoscopy due to sharp foreign body aspiration in pediatric patient. Foreign body aspiration in children is a frequent and potentially serious emergency. Through a clinical case, we review anesthetic management in emergency bronchoscopy after breathing in pediatric population, the most appropriate anaesthesia and acute respiratory as well as its complications.       

scholarly journals Pill in the left bronchus-pediatric foreign body aspiration: a case report

2018 ◽  
Vol 4 (2) ◽  
pp. 600
Author(s):  
Raghul Sekar ◽  
Karthikeyan Ramasamy ◽  
Hegde Jyotirmay ◽  
Arun Alexander ◽  
Sunil Kumar Saxena
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Foreign Body ◽  
Pediatric Population ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Mortality And Morbidity ◽  
Left Bronchus

<p>Pediatric population is more prone for accidents such as foreign body aspiration. It is an important and preventable cause of mortality and morbidity in children<strong>.</strong> Pill aspiration is one of the rare causes foreign body aspiration in both children and adults. History is crucial and can guide treatment in case of foreign body aspiration. We present a 5 year old child who had history and examination suggestive of pneumonia which turned out to be a foreign body in left bronchus on computed tomography. The foreign body was a half broken tablet of Co-trimoxazole removed by rigid bronchoscopy without any complication. The child’s symptoms improved satisfactorily following removal. </p>

scholarly journals Clinical and radiological characteristics of unrecognized foreign body aspiration into respiratory tract in children

2013 ◽  
Vol 66 (5-6) ◽  
pp. 214-219 ◽  
Author(s):  
Djurdjevka Tenjovic ◽  
Slobodanka Petrovic ◽  
Gordana Vilotijevic-Dautovic ◽  
Jovan Lovrenski ◽  
Branislavka Bjelica-Rodic
Keyword(s):  
Foreign Body ◽  
Pediatric Population ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Respiratory Illness ◽  
Time Lapse ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
X Rays ◽  
Radiographic Findings

Introduction. Diagnosing of foreign body aspiration in children is often postponed. The aim of this study was to evaluate complications, clinical signs and radiological presentation of respiratory illness arising from unrecognized foreign body aspiration in pediatric population. Material and Methods. The study sample consisted of 33 patients aged from one to 18 years who had undergone bronchoscopy for foreign body removal over the 10 years? period (from 2000 to 2010). Neither their parents nor the pediatricians who had treated these patients before admission to hospital recognized the acute aspiration event. All the children were treated unsuccessfully for a period exceeding 10 days. The retrospective analysis included the history of foreign body aspiration, patients? age, kind of aspirated foreign body, clinical manifestations that led to hospitalization, radiographic findings and the time lapse from the first symptoms to diagnosis proven by endoscopic intervention. Results. The majority of the foreign bodies were organic (93.93%). Broncho-obstructive syndrome, which was the most frequent clinical presentation, was found in 18 (54.55%) patients; pneumonia was diagnosed in 10 (30.30%) patients, four children were referred to hospital due to infiltrative changes with acute broncho-obstructive syndrome and only one child (3.03%) had persistent productive cough. Radiological findings (chest X-rays) were pathological in all patients. Rigid bronchoscopy was performed in 16 (48.49%) patients 10 days after presenting the first symptoms of respiratory illness, in 6 (18.18%) patients within 10-21 days? period and in 11 (33.33%) patients 3 weeks after the first respiratory symptom. Conclusion. Unrecognized foreign body aspiration results in various clinical manifestations and non-responsiveness to the standard therapy applied.

scholarly journals Rigid bronchoscopy for foreign body removal: an overview

2017 ◽  
Vol 3 (4) ◽  
pp. 936 ◽  
Author(s):  
Shashidhar K. ◽  
Roshna Raj V. Rajan ◽  
Nizin Shah ◽  
Nikhil Bhat
Keyword(s):  
Foreign Body ◽  
Pediatric Population ◽  
Surgical Oncology ◽  
Neck Surgery ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Adverse Outcomes ◽  
Foreign Body Removal ◽  
Paediatric Age ◽  
The Many

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Foreign body aspiration is a potentially life threatening medical scenario. Immediate diagnosis and intervention can save the many adverse outcomes. The aim of our study was to determine the pattern, presentation and management of foreign body aspiration in our population. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a retrospective study carried out in the Department of ENT and Head and Neck Surgery And Surgical Oncology, Karnataka Institute of Medical Sciences, Hubballi comprising of 22 patients with foreign body aspiration admitted to our department from July 2015 to February 2017.All patients with high suspicion of foreign body aspiration were included in our study. All patients underwent rigid bronchoscopy under general anesthesia.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In our study, majority of our patients were in the paediatric age group below the age of three years. History was always accidental inhalation of the foreign body. Areca nut was the most common foreign body removed. All patients who underwent successful foreign body removal following rigid bronchoscopy completely recovered from their ailments. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">It could be concluded that rigid bronchoscopy is treatment of choice in management of foreign body aspiration especially in pediatric population. The gold standard for the diagnosis and management of this condition is rigid bronchoscopy under general anaesthesia.</span></p>

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

Current Issues: Evidence-Based Practice for the Real World: Thoughts on Clinical Education in Communication Disorders

2010 ◽  
Vol 20 (3) ◽  
pp. 100-105 ◽  
Author(s):  
Anne K. Bothe
Keyword(s):  
Clinical Education ◽  
Real World ◽  
Evidence Based Practice ◽  
Communication Disorders ◽  
University Faculty ◽  
Evidence Based ◽  
Speech Language Pathology ◽  
Basic Principles ◽  
The Real ◽  
Language Pathology

This article presents some streamlined and intentionally oversimplified ideas about educating future communication disorders professionals to use some of the most basic principles of evidence-based practice. Working from a popular five-step approach, modifications are suggested that may make the ideas more accessible, and therefore more useful, for university faculty, other supervisors, and future professionals in speech-language pathology, audiology, and related fields.

Training Methods With Clinicians and Students—A Personal Story and Change: Narrative Therapy for Stuttering

2008 ◽  
Vol 18 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Margaret Leahy
Keyword(s):  
Narrative Therapy ◽  
Evidence Based Practice ◽  
Theoretical Background ◽  
Evidence Based ◽  
Training Methods ◽  
Sense Of Control ◽  
Case Description ◽  
General Outline ◽  
Personal Story ◽  
Fluency Disorders

Abstract Educating students and informing clinicians regarding developments in therapy approaches and in evidence-based practice are important elements of the responsibility of specialist academic posts in universities. In this article, the development of narrative therapy and its theoretical background are outlined (preceded by a general outline of how the topic of fluency disorders is introduced to students at an Irish university). An example of implementing narrative therapy with a 12-year-old boy is presented. The brief case description demonstrates how narrative therapy facilitated this 12-year-old make sense of his dysfluency and his phonological disorder, leading to his improved understanding and management of the problems, fostering a sense of control that led ultimately to their resolution.

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