scholarly journals KETERLAMBATAN TINDAKAN BRONKOSKOPI PADA SUSPEK BENDA ASING DI BRONKUS

2011 ◽  
Vol 35 (2) ◽  
pp. 159
Author(s):  
Fachzi Fitri ◽  
Yelvita Roza
Keyword(s):  
Foreign Body ◽  
Respiratory Distress ◽  
General Anesthesia ◽  
Delayed Diagnosis ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Morbidity And Mortality ◽  
Emergency Case ◽  
Organic Product ◽  
Diagnosis And Management

AbstrakAspirasi benda asing di bronkus adalah kasus emergensi THT-KL yang merupakan salah satu penyebab morbiditas dan mortalitas utama pada anak, terutama usia dibawah 3 tahun. Aspirasi benda asing yang tersering pada bayi dan anak adalah benda organik, sehingga membutuhkan penanganan yang cepat karena akan menimbulkan komplikasi serius apabila tindakannya terlambat. Keterlambatan diagnosis aspirasi benda asing dipengaruhi oleh faktor tingkat pengetahuan orang tua, ketidak tajaman diagnosis awal dan komplikasi dari benda asing di jalan nafas. Tindakan bronkoskopi tepat waktu akan menghindarkan komplikasi yang ireversibel.Dilaporkan satu kasus aspirasi benda asing biji jeruk pada seorang bayi laki-laki usia 7 bulan dengan gagal nafas akut karena keterlambatan diagnosis dan tatalaksana dan telah dilakukan bronkoskopi dalam anastesi umum dengan menggunakan bronkoskopi kaku.Kata kunci : aspirasi benda asing organik, gagal nafas akut, keterlambatan diagnosis, bronkoskopi kaku, anastesi umumAbstractForeign body aspiration in bronchus is an emergency case in ENT-HNS, representing one of the major cause of morbidity and mortality in childhood, especially in children younger than 3 years of age. The most foreign body aspirated in infant and toddler is an organic product, which can cause severe complication if the management was delay. Delayed diagnosis of foreign body aspiration was influenced by parenthal education, early misdiagnosis and complication of the foreign body. Timely bronchoscopy will prevent an irreversible complication.A case of foreign body orange seed aspiration in a boy 7 months old with acute breathing failure because of delayed diagnosis and management, the management was bronchoscopy using rigid bronchoscopy in general anesthesia.Key word : organic foreign body aspiration, acute respiratory distress, delayed diagnosis, rigid bronchoscopy, general anesthesia

scholarly journals Foreign body aspiration in an 11-month-old child; the importance of anamnesis and respiratory examination

2020 ◽  
Vol 10 (6) ◽  
pp. 156-157
Author(s):  
Muhammet Mesut Nezir ENGİN ◽  
Fatih ERDOĞAN ◽  
Özlem KÜÇÜK ◽  
Murat KAYA
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Respiratory Distress ◽  
Mortality Rates ◽  
Pediatric Emergency ◽  
Foreign Body Aspiration ◽  
Morbidity And Mortality ◽  
Pediatric Emergency Department ◽  
Delay In Diagnosis

Foreign body aspiration (FBA) is common in children. Especially in children, the majority of accidental deaths occur due to FBA. Morbidity and mortality rates increase, especially in children between the ages of one and four, and as a result of delay in diagnosis. The most common symptoms in patients with FBA are cough, dyspnea, hemoptysis, stridor and wheezing. In this case report, a patient who presented with sudden respiratory distress in the Pediatric Emergency Department was presented and the importance of anamnesis and respiratory examination in the diagnosis of FBA was emphasized.

scholarly journals Concealed Foreign Body Aspiration: A Master of Disguise

2020 ◽  
Vol 26 (1) ◽  
pp. 29-32
Author(s):  
Pravin Sugunan ◽  
Netia Jeganathan ◽  
Philip Rajan Devesahayam
Keyword(s):  
Mechanical Ventilation ◽  
Foreign Body ◽  
Respiratory Distress ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Rapid Recovery ◽  
School Age Children ◽  
School Age

Aspiration of a foreign body is rare in school-age children. This reports the 21-day journey of an 8-year-old girl who had a foreign body aspiration. She presented to our hospital after five days of respiratory distress.  She subsequently required mechanical ventilation and was supported with triple inotropes. After 18 days, a foreign body was removed via rigid bronchoscopy, followed by a rapid recovery of the patient.

Foreign Body in the Airway

2013 ◽  
Author(s):  
Vidya Chidambaran ◽  
Senthilkumar Sadhasivam
Keyword(s):  
Foreign Body ◽  
Young Children ◽  
General Anesthesia ◽  
Pediatric Anesthesia ◽  
Foreign Body Aspiration ◽  
Morbidity And Mortality ◽  
Airway Foreign Body

Airway foreign body aspiration is associated with significant airway distress that can lead to morbidity and mortality, especially in young children. Children who inhale a foreign body into the airway and require bronchoscopy under general anesthesia present the anesthetist with some of the most difficult and demanding cases in pediatric anesthesia.

scholarly journals Foreign Body Bottom of Pen in Bronchus with and without Atelectasis

2018 ◽  
Vol 7 ◽  
pp. 64
Author(s):  
Rahmadona Rahmadona ◽  
Ade Asyari ◽  
Novialdi Novialdi ◽  
Fachzi Fitri
Keyword(s):  
Foreign Body ◽  
Delayed Diagnosis ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Diagnosis And Treatment ◽  
Common Complication ◽  
First Case ◽  
Choice Of Procedure ◽  
The Common ◽  
Complications And Mortality

Introduction: Foreign body aspiration (FBA) is a common case in children. Delayed diagnosis more than 24 hours often increased the risk of complications and mortality. Atelectasis is one of the common complication of FBA. Rigid bronchoscopy under general anaesthesia is the choice of procedure for diagnosis and treatment. Case Report: It was reported two cases foreign body aspirationof a bottom of pen. First case was agirl, aged 6 year-old with foreign body a bottom of pen without lumen in bronchus with atelectasis and second case was a foreign body bottom of penwith lumen in bronchus in a boy, aged12 year-old without atelectasis but late diagnosis. Both cases have been successfully extracted using rigid bronchoscopy. Conclusion: Foreign body without lumen have more acute and severe complication rather than foreign body with lumen. The presence of a lumen within the foreign body allows good ventilation and shows less symptomps. Appropriate diagnosis and treatment will minimize the risk of complications.

scholarly journals Our Anesthesia Experiences in the Tracheobronchial Foreign Body Aspirations of Pediatric Patients During Rigid Bronchoscopy

2021 ◽  
Author(s):  
Yiğit Şahin ◽  
Tülay Çardaközü ◽  
Hüseyin Fatih Sezer
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Similar Rate ◽  
Rigid Bronchoscopy ◽  
Muscle Relaxants ◽  
Foreign Body Aspiration ◽  
Anesthesia Induction ◽  
Inhalation Anesthetics ◽  
Tracheobronchial Foreign Body ◽  
The Right

Objective: Bronchoscopy is the gold standard in the diagnosis and treatment of tracheobronchial foreign body aspiration (TBFBA) in children. Rigid bronchoscopy (RB) under general anesthesia is generally preferred in children. In this article, our anesthesia experiences during rigid bronchoscopy performed for tracheobronchial foreign body aspiration and removal of foreign bodies in children are shared. Methods: The medical records of all patients aged between 0-18 years who underwent RB under general anesthesia due to suspicion of TBFBA between January 1, 2014 and December 31, 2018 were retrospectively analyzed. Results: TBFBA was more common in boys and organic foreign body aspiration was significantly higher in patients between 13-36 months of age. Patients most frequently presented with cough and wheezing. Most of them were operated between 8 am and 4 pm. TFBs were localized in the right and left main bronchi at a similar rate. Anesthesia induction was usually achieved with iv. propofol, total intravenous anesthesia and sevoflurane inhalation was administered for maintenance of anesthesia. Except for proximally located TBFBs, intermediate-or short-acting muscle relaxants were applied to most of the cases depending on the duration of the procedure. Three patients were intubated postoperatively and transferred to intensive care unit. Respiratory distress responded to medical treatment in 25 patients. No cardiac arrest or death occurred during the procedure. Conclusion: RB and anesthesia procedure for TBYCA requires experience. There is no clear recommendation about premedication, the use of muscle relaxants should be evaluated according to the localization of TBYC. In anesthesia management, intravenous or inhalation anesthetics can be used.

scholarly journals Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weigang Gan ◽  
Ning Xiao ◽  
Yiyuan Feng ◽  
Danmei Zhou ◽  
Juanjuan Hu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Pediatric Patients ◽  
Treatment Delay ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
External Factors ◽  
Factors Affecting ◽  
Intrinsic Factors ◽  
Common Location ◽  
Tracheobronchial Foreign Body

Abstract Background Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. Methods We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. Results The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ2 = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. Conclusion Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality.

scholarly journals Rigid ventilating video bronchoscope with forceps for bronchoscopic foreign body removal in children

2019 ◽  
Vol 5 (4) ◽  
pp. 1129
Author(s):  
Sagar Jawale ◽  
Parthapratim Gupta ◽  
Bharti Kulkarni
Keyword(s):  
Foreign Body ◽  
Gold Standard ◽  
Medical Literature ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Indian Children ◽  
Foreign Body Removal ◽  
Rigid Tube ◽  
Pass Through ◽  
First Time

<p>Bronchoscopic foreign body removal is a potentially dangerous and challenging procedure in pediatric surgery. bronchoscopy under general anaesthesia is the gold standard of diagnosis and management of foreign body aspiration. A large ventilating channel and better control over the tip of the instrument and cheaper instrument are the merits of rigid bronchoscopy over flexible one. Traditionally a rigid tube alone is used for this purpose which has extreme limitations of vision and it is risky. Foreign body aspiration typically occurs in 6 to 18 month age and the size of glottis is very small at this age. In Indian children who are small and malnourished the large assembly of sheath and telescope mounted forceps does not pass through the glottis. To overcome the limitations of the traditional equipment I designed my own bronchoscopy equipment by my 15 year of experience in bronchoscopy. This type of device is reported for the first time in medical literature and patent is filed for it at Mumbai office.</p><p> </p>

Causes of delayed diagnosis of foreign body aspiration in children

2021 ◽  
Author(s):  
Diana Rotaru-Cojocari ◽  
Victor Rascov ◽  
Svetlana Sciuca ◽  
Rodica Selevestru
Keyword(s):  
Foreign Body ◽  
Delayed Diagnosis ◽  
Foreign Body Aspiration

scholarly journals A gyermekkori alsó légúti idegentest-aspiráció diagnosztikája a klinikai gyakorlatban

2018 ◽  
Vol 159 (51) ◽  
pp. 2162-2166
Author(s):  
Dániel Hajnal ◽  
Tamás Kovács
Keyword(s):  
Foreign Body ◽  
Standard Procedure ◽  
False Negative ◽  
Radiological Finding ◽  
Paediatric Population ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
X Ray ◽  
Co Morbidity ◽  
Chest X Ray

Abstract: Introduction and aim: Rigid bronchoscopic foreign body removal is the gold standard procedure for foreign body aspiration. We have analysed our results of bronchoscopies and the accuracy of diagnosis among the paediatric population in Southeast Hungary. Method: A retrospective study of children admitted because of suspected solid foreign body aspiration between 2006 and 2017 was performed. Results: From among 220 admitted patients, 86 were suspected of solid particle aspiration. Presenting history was certain in 68.6% (n = 59/86). Sudden choking-like symptoms were present in 61/86 patients (70.9%), coughing in 81/86 patients (94.2%). Thoracic auscultation was positive in 67/86 cases (77.9%), chest X-ray in 75/86 patients (87.2%), while fluoroscopy only in 12/75 cases (16%). 92 bronchoscopies in 86 patients were performed. In 57 bronchoscopies, solid foreign body was found (66.2%) and the removal was successful in 56 cases. Thoracic auscultation was negative in patients with foreign body only in 6/57 cases (10.5%). In the same group, chest X-ray was negative in 33/57 cases (57.9%) and fluoroscopy was positive only in 12/57 patients (21.1%). Pneumonia or prolonged bronchitis was present in 4/86 patients (4.6%). Severe bronchial bleeding occurred in 2/86 cases (2.3%). Mortality was 1.2%, a child with severe co-morbidity and chronic aspiration passed away. Bronchoscopy was negative in 29/86 patients (33.7%). Complications were significantly higher in chronic cases than in the acute ones. Conclusion: Rigid bronchoscopy is indicated if solid foreign body aspiration is suspected and positive anamnesis, typical symptoms (coughing, choking) or positive chest auscultations are present. Diagnosis predominantly based on radiological finding is controversial due to the high possibility of false negative results. Early intervention within the first 24 hours is recommended to avoid complications. Orv Hetil. 2018; 159(51): 2162–2166.

Role of virtual bronchoscopy in children with a vegetable foreign body in the tracheobronchial tree

2014 ◽  
Vol 128 (12) ◽  
pp. 1078-1083 ◽  
Author(s):  
G Behera ◽  
N Tripathy ◽  
Y K Maru ◽  
R K Mundra ◽  
Y Gupta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Multidetector Computed Tomography ◽  
Diagnostic Tool ◽  
Foreign Bodies ◽  
Three Dimensional ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Virtual Bronchoscopy

AbstractObjectives:Multidetector computed tomography virtual bronchoscopy is a non-invasive diagnostic tool which provides a three-dimensional view of the tracheobronchial airway. This study aimed to evaluate the usefulness of virtual bronchoscopy in cases of vegetable foreign body aspiration in children.Methods:The medical records of patients with a history of foreign body aspiration from August 2006 to August 2010 were reviewed. Data were collected regarding their clinical presentation and chest X-ray, virtual bronchoscopy and rigid bronchoscopy findings. Cases of metallic and other non-vegetable foreign bodies were excluded from the analysis. Patients with multidetector computed tomography virtual bronchoscopy showing features of vegetable foreign body were included in the analysis. For each patient, virtual bronchoscopy findings were reviewed and compared with those of rigid bronchoscopy.Results:A total of 60 patients; all children ranging from 1 month to 8 years of age, were included. The mean age at presentation was 2.01 years. Rigid bronchoscopy confirmed the results of multidetector computed tomography virtual bronchoscopy (i.e. presence of foreign body, site of lodgement, and size and shape) in 59 patients. In the remaining case, a vegetable foreign body identified by virtual bronchoscopy was revealed by rigid bronchoscopy to be a thick mucus plug. Thus, the positive predictive value of virtual bronchoscopy was 98.3 per cent.Conclusion:Multidetector computed tomography virtual bronchoscopy is a sensitive and specific diagnostic tool for identifying radiolucent vegetable foreign bodies in the tracheobronchial tree. It can also provide a useful pre-operative road map for rigid bronchoscopy. Patients suspected of having an airway foreign body or chronic unexplained respiratory symptoms should undergo multidetector computed tomography virtual bronchoscopy to rule out a vegetable foreign body in the tracheobronchial tree and avoid general anaesthesia and invasive rigid bronchoscopy.

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