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

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.

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Pneumopericardium after Foreign Body Aspiration: A Case Report

New Emirates Medical Journal ◽

10.2174/0250688201901010004 ◽

2020 ◽

Vol 1 (1) ◽

pp. 4-6

Author(s):

Abdelgalil Ragab ◽

Tarek Al Salhani ◽

Sallam Taha ◽

Eyad Darraj ◽

Kamal Moustafa

Keyword(s):

Case Report ◽

Foreign Body ◽

Foreign Body Aspiration ◽

Sharp Foreign Body

A case of spontaneous pneumopericardium occurred in the patient after the aspiration of no sharp foreign body. The patient was sent to Operation Theater (OT), bronchoscopic extraction of the foreign body was performed, and the patient was stable postoperatively. Serial follow up X-rayswere done and showed resolving of the pneumopericardium.

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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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17134700 ◽

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.

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Protecting Children as Feeding Skills Develop

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd20.3.88 ◽

2011 ◽

Vol 20 (3) ◽

pp. 88-93 ◽

Cited By ~ 2

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.

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Anesthetic management of the complications of previously undiagnosed ingested foreign body in a pediatric patient

Pediatric Anesthesia ◽

10.1111/j.1460-9592.2004.01312.x ◽

2004 ◽

Vol 14 (12) ◽

pp. 1023-1026 ◽

Cited By ~ 2

Author(s):

Nicola S Somerville ◽

Clare Mearns ◽

Chris Chin ◽

Sean Blaney ◽

David Anderson

Keyword(s):

Foreign Body ◽

Pediatric Patient ◽

Anesthetic Management ◽

Ingested Foreign Body

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Anesthetic Management of Tracheobronchial Foreign Body Aspiration Cases in Children

Academia Anesthesiologica International ◽

10.21276/aan.2019.4.2.49 ◽

2019 ◽

Vol 4 (2) ◽

pp. 214-217

Author(s):

Jaldeep B Patel ◽

◽

Arun kumar Chauhan ◽

Keyword(s):

Foreign Body ◽

Anesthetic Management ◽

Foreign Body Aspiration ◽

Tracheobronchial Foreign Body

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Foreign Body Aspiration in Left Bronchus in a Pediatric Patient - A Case Report

International Journal of Contemporary Medical Research [IJCMR] ◽

10.21276/ijcmr.2019.6.12.39 ◽

2019 ◽

Vol 6 (12) ◽

Author(s):

A Raghu Kanth

Keyword(s):

Case Report ◽

Foreign Body ◽

Pediatric Patient ◽

Foreign Body Aspiration ◽

Left Bronchus

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Push Enteroscopy Guided Removal of a Sharp Foreign Body from the Midjejunum in a Child

Journal of Digestive Endoscopy ◽

10.1055/s-0040-1713489 ◽

2020 ◽

Vol 11 (02) ◽

pp. 170-172

Author(s):

Sridhar Sundaram ◽

Suprabhat Giri ◽

Biswaranjan Patra ◽

Harish Darak ◽

Shobna Bhatia

Keyword(s):

Small Intestine ◽

Foreign Body ◽

Foreign Bodies ◽

Pediatric Population ◽

Push Enteroscopy ◽

Foreign Body Removal ◽

Case Presentation ◽

Resource Limited ◽

Small Intestinal ◽

Sharp Foreign Body

Abstract Background The majority of foreign bodies entering the small intestine are passed spontaneously. However, in case of a sharp object, its removal is an urgency due to a higher risk of intestinal perforation, and endoscopic intervention is an appropriate management strategy as surgery is associated with greater morbidity. Although enteroscopy is the standard practice for the removal of a foreign body in the small intestine, gastroduodenoscopy may be used for small intestinal foreign body removal. Case Presentation We describe here the case of a 21-month-old child in whom a 5-cm, sharp-pointed nail in the midjejunum was removed successfully by a gastroduodenoscopy. This case highlights the difficulties in the removal of a sharp foreign body in a pediatric patient and the use of push enteroscopy. Conclusion Gastroduodenoscopy can be used for the removal of a foreign body in the small intestine in pediatric population in a resource-limited setup by performing push enteroscopy.

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