Urgent Upper Airway Obstruction in Pediatric Population : A 13-Year Experience in a Tertiary Care Center

2018 ◽  
Vol 66 (3) ◽  
pp. 129-134
Author(s):  
Rachad Mhawej ◽  
Chadi Farah ◽  
Evana Francis
Keyword(s):  
Airway Obstruction ◽  
Pediatric Population ◽  
Care Center ◽  
Tertiary Care ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Tertiary Care Center

scholarly journals Risk Assessment and Outcome of Venous Thromboembolism in Pediatric Population in an Academic Care Center of a Low-Middle Income Country

2021 ◽  
Vol 27 ◽  
pp. 107602962199589
Author(s):  
Muhammed Wahhaab Sadiq ◽  
Ronika Devi Ukrani ◽  
Aiman Arif ◽  
Inaara Akbar ◽  
Sadaf Altaf ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Care Center ◽  
Tertiary Care ◽  
Middle Income Country ◽  
Income Country ◽  
Tertiary Care Center ◽  
Middle Income

Venous thromboembolism (VTE) is a recognized complication of hospital stay in young patients in many developed countries, but such an information is largely unavailable from a low middle-income country (LMIC). This study aimed at identifying the frequency, risk factors, treatment options and outcome of deep venous thrombosis/pulmonary embolism (DVT/PE) in pediatric population in a tertiary care center from a LMIC. International classification of disease, ninth revision (ICD-9) was used to identify VTE in patients aged 0-18 years during January 2011 to September 2019. In-house computerized system was used to collect data for demographics, clinical and laboratory details. SPSS version 19 was used to analyzed data. The study was approved by Institutional ethical review committee (3872-Pat-ERC-15). During the study period, 134617 pediatric patients were hospitalized, DVT/PE was observed in 77 unique patients (47 males and 30 females) with a median (IQR) age of 14 (5-16) years equivalent to 5.9 VTE events /10,000 hospital admissions. Malignancy, community acquired infections and autoimmune diseases were the predominant risk factors (75%) in adolescent age-group while surgery for congenital heart anomalies was the primary reason (71%) in infants. Overall, lower extremity thrombosis was the most frequent (51%) followed by pulmonary embolism (25%). and upper extremity thrombosis (24%). Enoxaparin and unfractionated heparin were mainly used to treat VTE and all-cause mortality was 13% in the cohort studied. We observed substantial VTE events in pediatric patients during their hospital stay in a tertiary care center of a low-middle income country.

Croup and Related Disorders

1993 ◽  
Vol 14 (1) ◽  
pp. 19-29
Author(s):  
Joseph R. Custer
Keyword(s):  
Airway Obstruction ◽  
Primary Care Physicians ◽  
Tertiary Care ◽  
Upper Airway ◽  
Organ Damage ◽  
Upper Airway Obstruction ◽  
Retropharyngeal Abscess ◽  
Radiology Department ◽  
Team Approach ◽  
Airway Infections

The airway of children is vital, but easily obstructed because it is narrow. Although there are many potential causes of upper airway obstruction (Table 1), a few diagnoses predominate. For example, in one study of 322 children presenting with stridor, 89% of cases were caused by croup, 8% by epiglottitis, and 2% by nonbacterial tracheitis.1 This review will cover these common airway infections as well as obstruction caused by inhalation of foreign bodies, spasmodic croup, and retropharyngeal abscess. Each of these diseases can progress to critical airway obstruction and hypoxia, causing organ damage or death. Individuals caring for children must be prepared to diagnose and treat airway emergencies expeditiously. Appropriate management of acute upper airway obstruction tests the organization of emergency care systems. Successful management of airway emergencies requires a team approach, including the skills of the primary physician and the staff of the emergency department, radiology department, and operating room (eg, anesthesiologist, otolaryngologist). Management of these cases can be anticipated, and prospective protocols can and should be established. Regional intensive care units, transport teams, emergency room personnel, primary care physicians, anesthesiologists, and otolaryngologists can agree on a prospective management scheme such as that outlined in Table 2. The issue of airway protection prior to or during transport to a tertiary care institution is controversial.

Tracheotomy in the Preschool Population: Indications and Outcomes

2007 ◽  
Vol 137 (2) ◽  
pp. 280-283 ◽  
Author(s):  
Lesley C. French ◽  
Christopher T. Wootten ◽  
Robert G. Thomas ◽  
Wallace W. Neblett ◽  
Jay A. Werkhaven ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Direct Result ◽  
First Year ◽  
Care Hospital ◽  
Age Group ◽  
First Year Of Life

OBJECTIVE: Although more tracheotomy procedures are performed within the first year of life than in any other age group, preschool-aged children requiring tracheotomy remain understudied. We characterize the indications and outcomes for patients between the ages of 3 and 6 years undergoing tracheotomy. METHODS: Out of 480 pediatric tracheotomy procedures performed at a tertiary-care hospital between 1988 and 2004, 15 patients underwent primary tracheotomy between 3 and 6 years of age. RESULTS: Most (60%) procedures were performed for pulmonary toilet. Upper-airway obstruction represented the second most common indication (40%), and trauma necessitated tracheotomy procedures more often than had been predicted (40%). The decannulation rate was 40%; 2 patients died. CONCLUSION: Trauma contributed to both upper-airway obstruction as well as requirements for pulmonary toilet. These procedures performed secondary to trauma will likely continue to increase. SIGNIFICANCE: Tracheotomy procedures in the preschool population remain uncommon; however, nearly half of those studied were performed as a direct result of otherwise preventable trauma.

scholarly journals A Fatal Cause for a Common Presentation

2015 ◽  
Vol 6 (4) ◽  
pp. 178-180
Author(s):  
Henry Emanuel ◽  
Robert Willis
Keyword(s):  
Airway Obstruction ◽  
Pediatric Population ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Careful Attention ◽  
Common Presentation ◽  
Head Neck

ABSTRACT Upper airway obstruction in the pediatric population has a myriad of etiologies, some of which are easily overseen. We emphasize the importance of thorough airway examination and careful attention to unusual signs, which, in this case, uncovered a fatal tumor. How to cite this article Emanuel H, Willis R. A Fatal Cause for a Common Presentation. Int J Head Neck Surg 2015;6(4):178-180.

Esophageal Button Battery in the Pediatric Population: Experience from a Tertiary Care Center

2020 ◽  
Vol 87 (8) ◽  
pp. 591-597 ◽  
Author(s):  
Sachit Anand ◽  
Vishesh Jain ◽  
Sandeep Agarwala ◽  
Anjan Kumar Dhua ◽  
Devendra Kumar Yadav
Keyword(s):  
Pediatric Population ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Button Battery
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