Unexpected Death Due to Acute Airway Obstruction in Daycare Centers

PEDIATRICS ◽  
1994 ◽  
Vol 94 (1) ◽  
pp. 113-114
Author(s):  
Roger W. Byard

Sudden collapse due to acute upper aerodigestive tract obstruction in infants and young children is most often caused by ingested food or toy parts.1,2 Although attention has been previously drawn to the different pattern of food asphyxiation in children compared with adults,2 the following two cases taken from the autopsy files of the Adelaide Children's Hospital over a 20-year period demonstrate particular risk factors associated with young children eating in daycare centers. CASE REPORTS Case 1 A 19-month-old healthy boy was eating a sausage happily in a daycare center when last observed by a caretaker who was then absent for several minutes.

2019 ◽  
Vol 13 (1) ◽  
pp. 29-34
Author(s):  
Suha Hanoon Ali ◽  
Arwa Mujahid Abdullah Al-Shuwaikh ◽  
Hala Sameh Arif

Background: Human Respiratory Syncytial virus (hRSV) is one of the major causes of viral respiratory tract infection in infants and young children. Aim of study:  The aim of this study was to determine the risk factors associated with hRSV infection. Objective: This study included 100 hospitalized infants and young children with chest infection (39 female and 61 male) aged from (1) to (24) months, their mean age (6.87) months. Material and methods:  Nasopharyngeal/throat swabs specimens were collected over a three-month winter period from January to April, 2017. hRSV was determined by reverse transcription polymerase chain reaction (RT-PCR). Results:  The highest percentage of hRSV RNA (56.81%) was observed in the age group less than 6 months, followed by (27.27%) and (15.91%) in the age group 6-12 months and 12-24 months, respectively, which mean that (84%) of hRSV infections were under 12 months of age. Regarding the type of feeding, about (84%) of hRSV infections were positive in patients with bottle feeding which indicated that the role of breastfeeding in preventing hRSV infection and hospitalization is undisputed, Results showed that there was no significant association between these risk factors and the occurrence of hRSV infection (P˃ 0.05). Conclusion:  The hRSV-RNA is equally distributed between patients exposed and not exposed to smoking (50%).


2020 ◽  
pp. 112972982096932
Author(s):  
Patrycja S Matusik ◽  
Piotr Łoboda ◽  
Katarzyna Krzanowska ◽  
Tadeusz J Popiela ◽  
Grzegorz Heba ◽  
...  

Central venous catheters (CVC) are used in many clinical settings for a variety of indications. We performed a systematic literature review concerning case reports of retained calcified fibrin sheaths after dialysis CVC removal. The aim of our study was to systematize the knowledge regarding clinical management of this phenomenon, placing special emphasis on diagnostic radiological features in different imaging modalities, including chest radiography, echocardiography, computed tomography, and magnetic resonance imaging. We discuss the most common risk factors associated with this CVC complication. In our review, we found eight cases of hemodialysis patients. The most common risk factors associated with calcified fibrin sheath formation in the analyzed cases were pro-thrombotic and pro-calcification factors related to patient comorbidities, and prolonged catheter dwell time. Differentiating between a calcified fibrin sheath (present in about 6% of patients with long-term indwelling CVC as diagnosed by computed tomography) and a retained catheter tip can be challenging. The initial diagnosis based on imaging methods was incorrect in most of the analyzed cases. This suggests that some cases of retained fibrin sheaths may remain undetected or misinterpreted. This is important in patients with known pro-thrombotic and pro-calcification risk factors and prolonged catheter dwell time. Therefore, implementation of preventive strategies, familiarity with radiological findings of this phenomenon, comparison with previous imaging studies, and an overall comprehensive assessment with clinical data is imperative.


2001 ◽  
Vol 37 (3) ◽  
pp. 573-579 ◽  
Author(s):  
Ellen G. Wood ◽  
Matthew Hand ◽  
David M. Briscoe ◽  
Lynn A. Donaldson ◽  
Verna Yiu ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document