A first-aid fast track channel for rescuing critically ill children with airway foreign bodies: our clinical experience

Abstract Objective To explore the role of a first-aid fast track channel in rescuing children with airway foreign bodies and to analyse and summarize the experience and lessons of the first-aid fast track channel in rescuing airway foreign bodies from patients in critical condition. Methods We retrospectively reviewed the medical records of children with airway foreign bodies rescued by first-aid fast track channels admitted to our hospital from January 2017 to December 2020. The corresponding clinical features, treatments, and prognoses were summarized. Results Clinical data from 21 cases of first-aid fast track channel patients were retrospectively collected, including 12 males and 9 females aged 9–18 months. Cough was the most frequently exhibited symptom (100.0%), followed by III inspiratory dyspnoea (71.4%). Regarding the location of foreign bodies, 5 cases (23.8%) had glottic foreign bodies, 10 cases (47.6%) had tracheal foreign bodies, and 6 cases (28.6%) had bilateral bronchial foreign bodies. The most common type of FB was organic. FB removal was performed by rigid bronchoscopy in every case, and there were no complications of laryngeal oedema, subcutaneous emphysema, or pneumothorax. No tracheotomy was performed in any of the children. Conclusion The first-aid fast track channel for airway foreign bodies saves a valuable time for rescue, highlights the purpose of rescue, improves the success rate of rescue and the quality of life of children, and is of great value for the treatment of critical tracheal foreign bodies. It is necessary to regularly summarize the experience of the first-aid fast track channel of airway foreign bodies and further optimize the setting of the first-aid fast track channel.

Download Full-text

First-aid Fast Track Channel in Rescuing Critically Ill Children With Airway Foreign Body: Our Clinical Experience

10.21203/rs.3.rs-153274/v1 ◽

2021 ◽

Author(s):

Yong-chao Chen ◽

Zhi-xiong Xian ◽

Sai-hong Han ◽

Lan Li ◽

Yi-shu Teng

Keyword(s):

Foreign Body ◽

Critically Ill ◽

Fast Track ◽

First Aid ◽

Critically Ill Children ◽

Deep Coma ◽

History Of ◽

Airway Foreign Body

Abstract Objective To explore the role of First-aid Fast Track channel in rescuing children with airway foreign body, and to analyze and summarize the experience and lessons of First-aid Fast Track channel in rescuing airway foreign body in critical condition. Methods Clinical data of 21 cases of First-aid Fast Track channel rescue admitted to our hospital from January 2017 to December 2020were retrospectively collected, including 12 males and 9 females, aged 9-18 months, with an average age of 15 months and a history of 1-72 hours. Follow-up medical history showed that all 21 children had a history of significant foreign body cough. Results 21 cases of airway foreign body were successfully removed without second operation. Twenty-one critically ill children were intubated into PICU after surgery. Two of the children had a history of asphyxia rescue in a foreign hospital. After endotracheal intubation and cardiopulmonary resuscitation, the ambulance was sent to our hospital. Although the foreign body was removed, the patient's family gave up the treatment because the brain hypoxia lasted too long and the deep coma could not be recovered. Conclusion First-aid Fast Track channel of airway foreign body is the cooperation of otolaryngology, anesthesiology, ICU, emergency room and other departments, which has won valuable time for rescue, highlighted the purpose of rescue, improved the success rate of rescue and the quality of life of children, and is of great value for the treatment of critical tracheal foreign body.

Download Full-text

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

10.21203/rs.3.rs-41995/v3 ◽

2020 ◽

Author(s):

Bo Liu ◽

Fengxia Ding ◽

Yong An ◽

Yonggang Li ◽

Zhengxia Pan ◽

...

Keyword(s):

Foreign Body ◽

Medical Records ◽

Foreign Bodies ◽

Pediatric Patients ◽

Previous History ◽

Rigid Bronchoscopy ◽

Diagnostic Difficulties ◽

History Of ◽

Male Patients ◽

Symptoms And Signs

Abstract Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

Download Full-text

The role of electronic medical records in improving the quality of health care services: Comparative study

International Journal of Medical Informatics ◽

10.1016/j.ijmedinf.2019.04.014 ◽

2019 ◽

Vol 127 ◽

pp. 63-67 ◽

Cited By ~ 4

Author(s):

Omar Ayaad ◽

Aladeen Alloubani ◽

Eyad Abu ALhajaa ◽

Mohammad Farhan ◽

Sami Abuseif ◽

...

Keyword(s):

Health Care ◽

Comparative Study ◽

Electronic Medical Records ◽

Quality Of Health Care ◽

Medical Records ◽

Health Care Services ◽

Care Services

Download Full-text

A Review on Role of Rasayanain prevention and Management (as an adjuvant) of COVID-19

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl1.3092 ◽

2020 ◽

Vol 11 (SPL1) ◽

pp. 852-856

Author(s):

Rani Mude ◽

Vaishali Kuchewar

Keyword(s):

Foreign Bodies ◽

Communicable Disease ◽

Antiviral Effect ◽

The Body ◽

Quality Of Results ◽

Corona Virus ◽

Closed Contact ◽

Work Done

COVID-19 is an infectious disease which is caused by Corona virus. It is a severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). The corona virus outbreak was begun in Wuhan, China, in December 2019. Common symptoms are including fever, cough and difficulty in breathing. This is a communicable disease and the virus is spread during closed contact between people. this disease is widely spreading in all countries including India and any effective treatment strategy is available on this disease. it is important to take preventive measures and immunity boosters to prevent from this communicable disease. Immunity will protect against various foreign bodies which enter in the body such as viruses and . In Ayurveda, taking is helpful for the person to keep him away from diseases by increasing the immunity. is the tool to create premium . Enhancement of quality of results in strong immune system to fight against diseases and longevity. NaimittikaRasayana helps to fight against various diseases and it can be used as an for specific disease. This study was aimed to review the previous work done on modulating and antiviral effect of drugs on Respiratory system. In this article, it is hypothesized that drugs may be effective in the prevention of COVID-19.

Download Full-text

Medical Records Quality as Prevention Tool for Healthcare-Associated Infections (HAIs) Related Litigation: a Case Series

Current Pharmaceutical Biotechnology ◽

10.2174/1389201020666190408102221 ◽

2019 ◽

Vol 20 (8) ◽

pp. 653-657 ◽

Cited By ~ 6

Author(s):

Giuseppe D. Albano ◽

Giuseppe Bertozzi ◽

Francesca Maglietta ◽

Angelo Montana ◽

Giulio Di Mizio ◽

...

Keyword(s):

Risk Management ◽

Medical Care ◽

Medical Records ◽

Case Series ◽

Health Concern ◽

Care Process ◽

Healthcare Associated Infections ◽

Healthcare Associated

Background: Healthcare-associated infections are one of the most serious Public Health concern, as they prolong the length of hospitalization, reduce the quality of life, and increase morbidity and mortality. Despite they are not completely avoidable, the number of healthcare-associated infections related to negligence claims has risen over the last years, contributing to remarkable economic and reputation losses of Healthcare System. Methods: In this regard, several studies suggested a key role of medical records quality in determining medical care process, risk management and preventing liability. Clinical documentation should be able to demonstrate that clinicians met their duty of care and did not compromise patient’s safety. Results: Therefore, it has a key role in assessing healthcare workers’ liability in malpractice litigation. Our risk management experience has confirmed the role of medical records accuracy in preventing hospital liability and improving the quality of medical care. Conclusion: In the presented healthcare-associated infections cases, evidence-based and guidelinesbased practice, as well as a complete/incomplete medical record, have shown to significantly affect the verdict of the judicial court and inclusion/exclusion of hospital liability in healthcare-associated infections related claims.

Download Full-text

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

10.21203/rs.3.rs-41995/v2 ◽

2020 ◽

Author(s):

Bo Liu ◽

Fengxia Ding ◽

Yong An ◽

Yonggang Li ◽

Zhengxia Pan ◽

...

Keyword(s):

Foreign Body ◽

Medical Records ◽

Foreign Bodies ◽

Pediatric Patients ◽

Previous History ◽

Rigid Bronchoscopy ◽

Diagnostic Difficulties ◽

History Of ◽

Male Patients ◽

Symptoms And Signs

Abstract Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients.Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed.Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention.Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

Download Full-text

Use of lignocaine nebulization in post bronchoscopy patients: a study of 150 cases

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20205300 ◽

2020 ◽

Vol 8 (12) ◽

pp. 4258

Author(s):

Naveed Gul ◽

Monica Manhas ◽

Parmod Kalsotra ◽

Mehak Taban Mir

Keyword(s):

Cardiac Arrest ◽

Foreign Body ◽

Postoperative Period ◽

Respiratory Arrest ◽

Rigid Bronchoscopy ◽

Morbidity And Mortality ◽

Laryngeal Edema ◽

Laryngeal Oedema

Background: To see the role of lignocaine nebulisation and to compare its role with use of steroids and bronchodilators alone in post bronchoscopy patients.Methods: In the present study, 150 patients, who underwent rigid bronchoscopy for removal of foreign body, were taken into consideration. Immediately after the rigid bronchoscopy, 100 patients were given nebulization and 50 patients were not nebulized. Out of 100 patients, 50 patients were given nebulization with steroids (budesonide) and bronchodilators (salbutamol) and 50 patients received nebulization with lignocaine 4%, steroids (budesonide) and bronchodilator (salbutamol).Results: In the present study, 38 patients (25.3%) were having complications like laryngobronchial spasm, laryngeal edema, cardiac arrest and respiratory arrest. Out of the 38 patients, 15 patients (39.5%) were having laryngobronchial spasm and 23 patients (60.5%) were having laryngeal edema. Out of 15 patients who had laryngobronchial spasm only 2 (13.3%) patients, who were nebulised developed this complication, while 86.7% cases of laryngobronchial spasm developed in non-nebulised patients. Out of 23 patients who developed laryngeal oedema, only 6 (26%) patients who were nebulised developed this complication, while 74% cases of laryngeal oedema developed in non-nebulised patients.Conclusions: In the present study it is concluded that both morbidity and mortality can be reduced by the use of nebulisation in the postoperative period after rigid bronchoscopy. Addition of lignocaine in nebulisation along with steroids and bronchodilators further reduces the morbidity and mortality in the postoperative period.

Download Full-text

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

10.21203/rs.3.rs-41995/v4 ◽

2020 ◽

Author(s):

Bo Liu ◽

Fengxia Ding ◽

Yong An ◽

Yonggang Li ◽

Zhengxia Pan ◽

...

Keyword(s):

Foreign Body ◽

Medical Records ◽

Foreign Bodies ◽

Pediatric Patients ◽

Previous History ◽

Rigid Bronchoscopy ◽

Diagnostic Difficulties ◽

History Of ◽

Male Patients ◽

Symptoms And Signs

Download Full-text

Occult foreign body aspirations in pediatric patients: 20-years of experience

BMC Pulmonary Medicine ◽

10.1186/s12890-020-01356-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Bo Liu ◽

Fengxia Ding ◽

Yong An ◽

Yonggang Li ◽

Zhengxia Pan ◽

...

Keyword(s):

Foreign Body ◽

Medical Records ◽

Foreign Bodies ◽

Pediatric Patients ◽

Previous History ◽

Rigid Bronchoscopy ◽

Diagnostic Difficulties ◽

History Of ◽

Male Patients ◽

Symptoms And Signs

Abstract Background The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n = 25, 71.4%). Coughing (n = 35, 100%) and wheezing (n = 18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n = 10) and the most common inorganic foreign bodies were pen caps (n = 5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

Download Full-text