2,503 results match your criteria Foreign Body Aspiration


Foreign Body Retrieval by Using Flexible Cryoprobe in Children.

J Bronchology Interv Pulmonol 2020 Jul 7. Epub 2020 Jul 7.

Pediatric Interventional Pulmonology Division, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Foreign body aspiration (FBA) can be a life-threatening emergency and the cause of significant morbidity and mortality in children. Although rigid bronchoscopy is considered as the treatment of choice for the retrieval of foreign bodies (FBs) among pediatrics, extraction with the flexible fiberoptic bronchoscope (FFB) has become increased in popularity over the last few years. Recently, though there have been some reports about the use of cryoprobes as tools for the removal of FBs in adults, there is a limited experience concerning pediatrics, especially during the infancy period. Read More

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http://dx.doi.org/10.1097/LBR.0000000000000698DOI Listing

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.

Int J Environ Res Public Health 2020 Jun 30;17(13). Epub 2020 Jun 30.

Forensic Medicine, Department of Law, Magna Grecia, University of Catanzaro, 81100 Catanzaro, Italy.

(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. Read More

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http://dx.doi.org/10.3390/ijerph17134700DOI Listing

Intentional Asphyxiation Using Baby Wipes: A Case Report and Review of the Literature.

Pediatr Emerg Care 2020 Jul;36(7):e397-e398

From the Department of Emergency Medicine, New York University School of Medicine, New York, NY.

Abusive suffocation with foreign bodies is an uncommon form of child abuse. We present the case of a 2-month-old infant with colic who was forcibly suffocated with a baby wipe by a female babysitter. He presented to the emergency department in respiratory distress, and the foreign body was removed in the operating room by otorhinolaryngology. Read More

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http://dx.doi.org/10.1097/PEC.0000000000002159DOI Listing

[Acute respiratory distress in a frail older patient: spontaneous tooth aspiration].

Ned Tijdschr Tandheelkd 2020 May;127(5):282-285

A 68-year-old man presented at the emergency room with acute difficulty breathing. On account of recent subarachnoidal haemorrhage the patient was a resident of a care facility, and was also being treated for acute bronchitis there. Radiographic imaging of the lungs revealed a tooth with crown and pontic to have been inhaled. Read More

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http://dx.doi.org/10.5177/ntvt.2020.05.19132DOI Listing

Hijab pin inhalation.

JAAPA 2020 Jul;33(7):27-29

At the time this article was written, Sophia Sheikh was a student in the PA program at Marietta (Ohio) College. John Grosel practices at LucidHealth Riverside Radiology and Interventional Associates, Inc., based in Columbus, Ohio, and is a professor in the PA program at Marietta College. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Foreign body aspiration can be an acute life-threatening emergency and, if left untreated, can result in severe complications. Among Muslim women, the hijab pin can be accidentally aspirated. The article describes standard management with rigid bronchoscopy and a new technique involving magnets. Read More

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http://dx.doi.org/10.1097/01.JAA.0000668800.18287.6fDOI Listing

Unsuspected foreign-body aspiration in adult patient with status asthmaticus: Case report.

Ann Med Surg (Lond) 2020 Aug 8;56:1-4. Epub 2020 Jun 8.

Department of Critical Care Medicine, Fundación Valle del Lili, Cali, Colombia.

Introduction: Accidental foreign body aspiration can cause severe damage to the airway and threaten the patient's life. This situation requires multidisciplinary and systematic approach from the medical and surgical team, in order to achieve complete resolution maintaining airway permeability.

Presentation Of Case: This is a 49 y/o man who presented with a severe asthma attack, in whom an unsuspected foreign body in the inferior airway was diagnosed, which was possibly the result of aspiration during the initial emergency care, causing worsening of the already critical condition. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.05.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292887PMC

Foreign Body Aspiration Presenting as Pneumothorax in a Child.

Cureus 2020 May 16;12(5):e8161. Epub 2020 May 16.

Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, USA.

A typical presentation of a foreign body aspiration (FBA) in a child includes witnessed choking, respiratory distress, cyanosis, coughing, wheezing, diminished breath sounds, and/or altered mental status. Following an extensive literature review, we found pneumothorax occurring secondary to FBA is a rare occurrence and should elicit prompt treatment. This 17-month-old female was admitted for respiratory syncytial virus (RSV) bronchiolitis and developed a subsequent pneumothorax during her hospital stay, consequent to aspiration of a cashew fragment two weeks before presentation. Read More

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http://dx.doi.org/10.7759/cureus.8161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294853PMC

Tracheobronchial foreign body aspiration in children: A retrospective single-center cross-sectional study.

Medicine (Baltimore) 2020 May;99(22):e20480

Department of Respiratory Medicine, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.

Foreign body (FB) aspiration is a common and serious problem in childhood as it requires early recognition and treatment to avoid potentially lethal consequences. This study aimed to characterize the clinical and epidemiological features of airway FBs in a pediatric Chinese population.A retrospective review of medical records of children aged 0 to 14 years who attended with a diagnosis of FB aspiration the Shanghai Children's Hospital between January 2013 and December 2017 was carried out. Read More

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http://dx.doi.org/10.1097/MD.0000000000020480DOI Listing

Exploratory study of clinical effectiveness and safety of TJ-116 bukuryoingohangekobokuto for anxiety and postoperative water brash in esophageal cancer patients (TJ116E).

Medicine (Baltimore) 2020 May;99(22):e20317

Department of Kampo Medicine.

Background: Patients with esophageal cancer suffer from anxiety in the perioperative period surrounding esophagectomy; this may increase the risk of postoperative complications. In particular, postoperative aspiration pneumonia carries a high risk of hospital mortality. Bukuryoingohangekobokuto (BRIHK) is a traditional Japanese medicine formula used to treat anxiety, the feeling of a foreign body in the esophagus, and water brash. Read More

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http://dx.doi.org/10.1097/MD.0000000000020317DOI Listing

[Progress Report on Cases of Peripherally Inserted Central Catheter (PICC) Management in Our Hospital, Including Elderly Patients].

Nihon Ronen Igakkai Zasshi 2020 ;57(2):173-181

Sanno Hospital.

Aim: In our hospital, the number of cases in which peripherally inserted central catheters (PICCs) are used has increased; these patients include elderly people who cannot take medications orally, patients with low levels of awareness, and patients with dysphagia. We report the situation at this time mainly with regard to the number of days on which PICCs were used.

Methods: Fifteen elderly patients (male, n=7; female, n=8; average age, 89. Read More

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http://dx.doi.org/10.3143/geriatrics.57.173DOI Listing
January 2020

Aspiration of superabsorbent polymer beads resulting in focal lung damage: a case report.

BMC Pediatr 2020 May 29;20(1):262. Epub 2020 May 29.

Pediatric Pulmonology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Background: Concerns have recently been raised about reported incidents of intestinal obstruction following ingestion of Superabsorbent polymer (SAP) beads. Texas Poison Centers reported 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016 (Pediatr Emerg Care 35:426-7, 2019). Furthermore, cases of related auditory complications following the placement of SAP beads into the external auditory canal have also been reported. Read More

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http://dx.doi.org/10.1186/s12887-020-02168-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7257448PMC

Endoscopic removal of tracheobronchial foreign bodies: results on a series of 51 pediatric patients.

Pediatr Surg Int 2020 Aug 28;36(8):941-951. Epub 2020 May 28.

Department of Emergency and Organ Transplantation, Thoracic Surgery Unit, University Hospital of Bari, G. Cesare Square, 11, 70124, Bari, Italy.

Purpose: Rigid bronchoscopy (RB) is still considered the gold standard approach for the removal of airway foreign bodies (FBs) in children; however, flexible bronchoscopy (FOB) has recently been proposed both as diagnostic and therapeutic means. Our purpose was to evaluate the outcomes of FOB, associated with the Dormia basket, for the removal of FBs.

Methods: Retrospective data about 124 children who underwent bronchoscopy for the suspicion of a FB aspiration between January 2008 and January 2019 in our department were collected. Read More

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http://dx.doi.org/10.1007/s00383-020-04685-1DOI Listing

Delayed diagnosis of fatal pneumonic canine plague: clinical and pathologic features in two naturally infected Colorado dogs.

BMC Vet Res 2020 May 25;16(1):160. Epub 2020 May 25.

Department of Microbiology, Immunology, and Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.

Background: Plague caused by Yersinia pestis is a highly infectious and potentially fatal zoonotic disease that can be spread by wild and domestic animals. In endemic areas of the northern hemisphere plague typically cycles from March to October, when flea vectors are active. Clinical forms of disease include bubonic, septicemic, and pneumonic plague. Read More

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http://dx.doi.org/10.1186/s12917-020-02361-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249295PMC

An apple a day won't keep the doctor away: presentation, treatment, and outcome in pediatric apple aspirations.

Pediatr Pulmonol 2020 Jul 22;55(7):1697-1704. Epub 2020 May 22.

Department of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.

Introduction: Foreign body (FB) aspiration is a frequent and preventable source of morbidity and mortality, especially in children under 4 years of age. Few comprehensive studies exist on presentation and outcome of apple aspirations in children.

Methods: In a retrospective analysis of bronchoscopy records of a tertiary medical care center from January 2007 to August 2019, we identified pediatric cases of suspected apple aspirations. Read More

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http://dx.doi.org/10.1002/ppul.24768DOI Listing

Tracheal Irrigation Without Bronchoscopy as an Alternative Emergent Treatment of Blood Aspiration.

J Emerg Med 2020 May 13;58(5):e223-e226. Epub 2020 May 13.

Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.

Background: Tracheobronchial foreign body aspiration can cause mild symptoms but may also become dangerous enough to cause death. Bronchoscopy is the first choice for the diagnosis and the removal of aspirated foreign bodies. So, when bronchoscopy is not available, the situation might get challenging. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.04.011DOI Listing

Emergency tracheotomy and subsequent tracheal resection and anastomosis in a blue crane ().

J Am Vet Med Assoc 2020 Jun;256(11):1262-1267

Case Description: A 7-year-old female blue crane () was initially evaluated after it had suddenly developed signs of respiratory distress following aspiration of a rock. Emergency tracheotomy had been performed, and the rock had been removed from the proximal cervical portion of the trachea. Fifty-one days later, the clinical signs had returned and the crane was reevaluated. Read More

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http://dx.doi.org/10.2460/javma.256.11.1262DOI Listing

Utility of Flexible Bronchoscopy for Airway Foreign Bodies Removal in Adults.

J Clin Med 2020 May 10;9(5). Epub 2020 May 10.

Secció de Pneumologia, Hospital Universitari Sant Joan d'Alacant, Ctra Alacant-València s/n, 03550 Sant Joan d'Alacant, Spain.

Foreign body aspiration is relatively infrequent in adults. Airway foreign bodies (AFBs) can be removed by flexible bronchoscopy (FB) or rigid bronchoscopy (RB). We performed a retrospective analysis of FBs performed in our centre over a 25 year period, focusing on the procedures that revealed an AFB during the examination stage. Read More

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http://dx.doi.org/10.3390/jcm9051409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290307PMC

A melting, encapsulated, calcified pulmonary nodule in a healthy 51-year-old woman: a case report.

BMC Med Imaging 2020 May 1;20(1):44. Epub 2020 May 1.

School of Medicine, Tzu Chi University, Hualien, Taiwan.

Background: Foreign body aspiration is less common in healthy adults, which makes diagnosis difficult. Early detection of smaller/sharp foreign bodies in the distal airway is more difficult because patients might have no symptoms and imaging studies could appear normal. Here we describe the course of a small, sharp foreign body (chicken bone) lodged in the distal airway of a healthy middle-aged woman. Read More

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http://dx.doi.org/10.1186/s12880-020-00448-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195784PMC

Value of MSCT for diagnosis of tracheobronchial foreign body aspiration in children: 5-year retrospective study.

Pediatr Int 2020 Apr 29. Epub 2020 Apr 29.

Department of Pulmonology, Children's Hospital of Soochow University, Suzhou, China.

Background: Tracheobronchial foreign body (TFB) aspiration is a significant cause of respiratory problems in children. Timely diagnosis of TFB is important for decreasing the mortality rate and the incidence of complications. Because of advances in radiology, multi-slice spiral computed tomography (MSCT) has become the best technique for diagnosing TFB. Read More

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http://dx.doi.org/10.1111/ped.14269DOI Listing

COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL).

Eur Ann Otorhinolaryngol Head Neck Dis 2020 May 18;137(3):177-181. Epub 2020 Apr 18.

Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.

Objective: Joint guidelines of the French Pediatric Otolaryngology Society (AFOP) and of the French Society of otorhinolaryngology-head and neck surgery (SFORL) on the management of paediatric otolaryngology patients in the context of the COVID-19 pandemic.

Methods: A nation-wide workgroup drew guidelines based on clinical experience, national and local recommendations and scientific literature. Proposals may have to be updated on a day-to-day basis. Read More

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http://dx.doi.org/10.1016/j.anorl.2020.04.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165275PMC

Aspiration Pneumonia Due to Migration of Fracture Tracheostomy Tube after 14 Years of Use.

Oman Med J 2020 Mar 14;35(2):e113. Epub 2020 Apr 14.

ENT Department, Sohar Hospital, Sohar, Oman.

Tracheostomy is a common life-saving surgical procedure, which has its own short- and long-term surgical complications. Occasionally, after being in place for several years, the tube may fracture, causing a foreign body reaction in the bronchus followed by life-threatening pneumonia. We report a rare case of a 29-year-old man with a known leukodystrophy disorder whose tracheostomy tube was never changed in 14 years. Read More

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http://dx.doi.org/10.5001/omj.2020.31DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157438PMC

Unexpected Bronchial Foreign Body Aspiration.

Intern Med 2020 15;59(8):1111-1112. Epub 2020 Apr 15.

Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan.

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http://dx.doi.org/10.2169/internalmedicine.3970-19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205526PMC

Cytomorphological Spectrum of Granulomatous Mastitis: A Study of 33 Cases.

Eur J Breast Health 2020 Apr 1;16(2):146-151. Epub 2020 Apr 1.

Department of Pathology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri Pune, India.

Objective: Granulomatous mastitis is an uncommon benign breast disease. Varied aetiologies such as tuberculosis, foreign body reactions, sarcoidosis, fungal and parasitic infections and autoimmunity have been suggested. Pre-operative definitive diagnosis is essential for proper treatment. Read More

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http://dx.doi.org/10.5152/ejbh.2020.5185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138357PMC

Insurance type impacts bronchoscopy for foreign body aspiration: An analysis of the Kids' Inpatient Database.

Int J Pediatr Otorhinolaryngol 2020 Jul 27;134:110023. Epub 2020 Mar 27.

Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA. Electronic address:

Objectives: To ascertain whether insurance type is associated with postoperative adverse effects and hospital length of stay for inpatient airway foreign body removal.

Methods: Retrospective analysis of children <18 years of age that underwent inpatient bronchoscopy with removal of airway foreign body in the national Healthcare Cost and Utilization Project Kid's Inpatient Database (KID). Postoperative outcomes and length of stay were analyzed for racial disparities and insurance type using multivariable logistic regression and negative binomial regression. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110023DOI Listing

The prevalence of lower airway anomalies in children with Down syndrome compared to controls.

Pediatr Pulmonol 2020 05 23;55(5):1259-1263. Epub 2020 Mar 23.

Department of Pediatrics, Antwerp University Hospital, Edegem, Belgium.

Introduction: Children with Down syndrome (DS) often present with chronic respiratory symptoms. Congenital airway anomalies have been described but data about prevalence is scarce and a comparison to controls is lacking. We aim to compare the endoscopic and clinical data of children with DS to controls without significant medical history. Read More

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http://dx.doi.org/10.1002/ppul.24741DOI Listing

Foreign body aspiration in a rare tracheal anomaly: A case report.

Int J Surg Case Rep 2020 15;68:203-207. Epub 2020 Feb 15.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City and King Abdullah Specialist Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

Introduction: Tracheal bronchus is a rare anomaly in which an accessory bronchial branch originates superior to the tracheal bifurcation. It is usually incidentally found in patients with recurrent chest infection, persistent stridor and less commonly due to foreign body aspiration.

Presentation Of Case: A 6-year-old medically and surgically free boy presented to the Emergency Department with severe shortness of breath. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078452PMC
February 2020

An Avulsed Tooth Detected Prior to Insertion of a Laryngeal Mask Airway.

Anesth Prog 2020 ;67(1):35-38

Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, Suita, Japan.

This case report describes the importance of inspecting the hypopharynx via direct laryngoscopy prior to laryngeal mask airway (LMA) insertion during induction of general anesthesia for dental patients with special needs. A 51-year-old man with cerebral palsy underwent induction of general anesthesia for dental extractions and subsequently was noted to be missing a tooth. Prompt inspection of the airway via direct laryngoscopy revealed the tooth resting within the pharynx, which was subsequently retrieved, prior to insertion of the LMA. Read More

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http://dx.doi.org/10.2344/anpr-66-04-01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083122PMC
January 2020

Upper airway obstruction in an adolescent: Can airway foreign bodies be missed without self-reporting?

Respir Med Case Rep 2020 21;29:101029. Epub 2020 Feb 21.

Division of Critical Care Medicine, National Center for Child Health and Development, Ohkura 2-10-1, Setagaya-ku, Tokyo, 157-8535, Japan.

Upper airway obstruction due to foreign body aspiration is rare in adolescents. Diagnosis of the same is difficult, and incorrect, delay of treatment is common in patients with no aspiration history. Herein, we describe the case of a 15-year-old boy who presented with upper airway obstruction because of swallowing chewing gum 4 days before presentation. Read More

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http://dx.doi.org/10.1016/j.rmcr.2020.101029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063174PMC
February 2020

Pneumothorax and Pneumomediastinum Complicating Pediatric Foreign Body Aspiration.

Ear Nose Throat J 2020 02 7;99(2):107-108. Epub 2019 Feb 7.

Department of Otolaryngology, Galilee Medical Center, Nahariya, Israel.

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http://dx.doi.org/10.1177/0145561318824225DOI Listing
February 2020

Diagnosis of foreign body aspiration with ultralow-dose CT using a tin filter: a comparison study.

Emerg Radiol 2020 Aug 9;27(4):399-404. Epub 2020 Mar 9.

Department of Pediatric Radiology, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.

Purpose: Suspected airway foreign body aspiration (FBA) is a common event in paediatric emergency units, especially in children under 3 years of age. It can be a life-threatening event if not diagnosed promptly and accurately. The purpose of this study is to compare the diagnostic performance of an ultralow-dose CT (DLP of around 1 mGycm) with that of conventional radiographic methods (fluoroscopy and chest radiography of the airways) in the diagnosis of FBA children's airways. Read More

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http://dx.doi.org/10.1007/s10140-020-01764-7DOI Listing

Accidental inhalation of scarf pin: Presentation and management.

Lung India 2020 Mar-Apr;37(2):140-144

Department of Anesthesiology and Reanimation, Mohammed VI University Hospital Center, Oujda, Morocco.

Background: The accidental aspiration of foreign bodies (FBs) is a rare occurrence in adults. However, inhalation of scarf pin is a phenomenon more and more common in the context of Muslim nations. The aim of our study was to describe the characteristics of this particular FB and illustrate the circumstances and consequences of inhalation. Read More

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http://dx.doi.org/10.4103/lungindia.lungindia_345_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065550PMC
February 2020

Stridor in a child: It's diagnostic challenges.

Respir Med Case Rep 2020 13;29:101011. Epub 2020 Feb 13.

Department of Paediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.

Introduction: Foreign body aspiration (FBA) is an extremely serious life threatening condition in infants and children.

Case Report: We are reporting a case of multiple foreign bodies lodged in respiratory tract in an infant.

Discussion: FBA is the most common cause of accidental death among infants and toddlers. Read More

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http://dx.doi.org/10.1016/j.rmcr.2020.101011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029159PMC
February 2020

Unusual Bronchial Foreign Bodies with Localized Bronchiectasis in Five Children.

Case Rep Med 2019 28;2019:4143120. Epub 2019 Dec 28.

Department of 'A', The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.

Obstructive foreign bodies are uncommon causes of bronchiectasis in children, the causal relationship between foreign body aspiration and bronchiectasis remains unclear. We conducted a review of children who were diagnosed with bronchiectasis due to foreign body retention in a university hospital between 2014 and 2019. Five patents were studied (four boys, one girl; age range: 15 months to 13 years old). Read More

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http://dx.doi.org/10.1155/2019/4143120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011307PMC
December 2019

Foreign bodies in the pediatric age: the experience of an Italian tertiary care hospital.

Acta Biomed 2020 02 17;91(1-S):60-64. Epub 2020 Feb 17.

ENT Department, University of L'Aquila, L'Aquila, Italy.

Foreign bodies in pediatric age represent an extremely frequent pathological condition and can undergo fearsome complications. Within the ENT area, foreign bodies in the pediatric age can be found in various districts such as external auditory canal, nasal passages, oral cavity, pharynx, larynx and trachea. They can be various and shape; generally, the main ones are buttons, beads, small parts of toys, caps of pens, pebbles, fragments of food bolus and others. Read More

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http://dx.doi.org/10.23750/abm.v91i1-S.9260DOI Listing
February 2020

Foreign Body Aspiration Simulating Lung Cancer.

Arch Bronconeumol 2020 Feb 1. Epub 2020 Feb 1.

Pulmonology Department, Unidade Local de Saúde da Guarda E.P.E. - Hospital Sousa Martins, Portugal; Faculty of Medicine of the University of Beira Interior, Portugal.

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http://dx.doi.org/10.1016/j.arbres.2019.12.016DOI Listing
February 2020

Foreign body aspiration in a child with cardiac arrest.

Authors:
Tim R George

JAAPA 2020 Feb;33(2):29-31

Tim R. George is an active duty US Air Force PA in emergency medicine at Keesler Air Force Base in Biloxi, Miss. The author has disclosed no potential conflicts of interest, financial or otherwise.

Foreign body aspiration is a true medical emergency and is the fifth most common cause of mortality due to unintentional injury in the United States. Children who have aspirated a foreign body may present with a variety of symptoms, from mild irritation and cough to respiratory failure. Treatment is removal of the foreign body, often via rigid bronchoscopy. Read More

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http://dx.doi.org/10.1097/01.JAA.0000615480.69807.99DOI Listing
February 2020

New scoring system to predict foreign body aspiration in children.

J Pediatr Surg 2019 Dec 30. Epub 2019 Dec 30.

Hacettepe University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey. Electronic address:

Purpose: To propose a new scoring system to predict foreign body aspiration (FBA) in children.

Methods: Children who underwent bronchoscopy for FBA were evaluated for age, sex, history of aspiration, physical examination, radiological findings and results of bronchoscopy retrospectively. A new proposed FBA scoring including statements about history, physical and radiological findings were applied to all patients to define a total score. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.12.015DOI Listing
December 2019

Removal of distal airway foreign body with the help of fluoroscopy in a child.

Pediatr Pulmonol 2020 03 15;55(3):E5-E7. Epub 2020 Jan 15.

Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.

Most foreign bodies are located in the central airways and can be reached and removed with either a flexible or rigid bronchoscope or a combination of the two methods. The removal of more distal foreign bodies can present a significant challenge. We describe a case of an 11-year-old child, who aspirated a sewing needle that lodged in a distal subsegment of the medial segment of the right lower lobe. Read More

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http://dx.doi.org/10.1002/ppul.24653DOI Listing

Tongue-tied: a case of magnetic balls constricting the lingual frenum.

Quintessence Int 2020 ;51(2):152-154

The health risks associated with aspiration and ingestion of foreign bodies in children are well known. The increased availability of magnetic toys have added to these risks. A 7-year-old girl presented at the Department of Maxillofacial and Oral Surgery at the University of Pretoria Oral and Dental Hospital with a complaint of pain under the tongue. Read More

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http://dx.doi.org/10.3290/j.qi.a43867DOI Listing
January 2020

Left destroyed lung caused by a pen cap in the left lower lobe bronchus "swallowed" 25 years ago.

Ann Transl Med 2019 Nov;7(22):711

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.

A delayed diagnosis of tracheobronchial foreign body aspiration (FBA) may result in severe respiratory complications such as pneumonia, bronchiectasis, and atelectasis. Here, we present a rare case of a left lung destruction caused by a pen cap that remained in the left lower lobe bronchus for 25 years and was previously misdiagnosed as cavitary tuberculosis. The foreign body was not detected in bronchoscopic examination prior to surgery due to severe stenosis of the left main bronchus. Read More

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http://dx.doi.org/10.21037/atm.2019.11.64DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6944546PMC
November 2019

Distal Airway Aspirated Metallic Foreign Body, Case Report of Spontaneous Expectoration.

Am J Case Rep 2020 Jan 7;21:e917608. Epub 2020 Jan 7.

College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.

BACKGROUND Foreign body aspiration is one of the life-threatening conditions seen in the adult and pediatric population with most cases occurring within the first 3 years of life. It can result in serious complications or even lead to death. Bronchoscopic removal has been described as the management of choice. Read More

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http://dx.doi.org/10.12659/AJCR.917608DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977609PMC
January 2020

Validation of a computerized scoring system for foreign body aspiration: An observational study.

Pediatr Pulmonol 2020 03 7;55(3):690-696. Epub 2020 Jan 7.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: The diagnosis of foreign body aspiration (FBA) is challenging. In a previous study, we developed a computerized scoring system (CSS) to support decision-making. In the present study, we aimed to validate it on a further cohort. Read More

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http://dx.doi.org/10.1002/ppul.24632DOI Listing

Laryngeal reflex responses in pediatric anesthesia.

Paediatr Anaesth 2020 03 28;30(3):353-361. Epub 2020 Jan 28.

Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, WA, Australia.

Laryngeal and respiratory reflexes are vitally important defense mechanisms against foreign body aspiration, safeguarding airway patency, and ventilation. These highly preserved automatisms easily overrule external influences like willpower or (anesthetic) medication. Prevention and anticipation are, therefore, the essential strategies to avoid adverse events and damage, and treatment is most effective in the early stage of the reflex response. Read More

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http://dx.doi.org/10.1111/pan.13807DOI Listing

Acute Respiratory Distress Syndrome immediately following the removal of an aspirated foreign body.

Respir Med Case Rep 2020 10;29:100978. Epub 2019 Dec 10.

Division of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati Children's Hospital and Medical Center, 3333 Burnet Avenue, MLC 7041, Cincinnati, OH, 45229-3026, USA.

Acute Respiratory Distress Syndrome (ARDS) is a form of diffuse lung injury with many potential etiologies, pneumonia being the most common cause developing outside of the hospital. Foreign body (FB) aspiration is a risk factor for pneumonia, and therefore, ARDS. Although these associations exist, the development of ARDS immediately following the removal of an aspirated FB appears quite rare. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.100978DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6921229PMC
December 2019

Outcomes of delayed endoscopic management for esophageal soft food impactions.

Gastrointest Endosc 2020 Apr 24;91(4):806-812. Epub 2019 Dec 24.

Department of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, Texas, USA.

Background And Aims: Food impactions are a common reason for emergent upper endoscopy. Current guidelines call for urgent upper endoscopy (within 24 hours) for food impactions without complete esophageal obstruction and emergent endoscopy (within 6 hours) for those with complete esophageal obstruction. Multiple adverse events can arise from esophageal foreign bodies. Read More

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http://dx.doi.org/10.1016/j.gie.2019.12.020DOI Listing

Awareness of the first aid management of foreign body aspiration among students: A cross-sectional study.

J Educ Health Promot 2019 29;8:220. Epub 2019 Nov 29.

Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

Background: Pediatric foreign body aspiration (FBA) is a life-threatening condition responsible for many deaths every year, especially among children younger than 2 years.

Objective: This study aimed to determine the level of knowledge among students in Jeddah, Saudi Arabia.

Subjects And Methods: This observational, cross-sectional study was conducted between December and January 2018 at Jeddah, Saudi Arabia via a paper-based questionnaire survey of male and female high school and middle school students. Read More

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http://dx.doi.org/10.4103/jehp.jehp_306_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6905279PMC
November 2019

Bacterial Pneumonia in Dogs and Cats: An Update.

Authors:
Jonathan D Dear

Vet Clin North Am Small Anim Pract 2020 Mar 5;50(2):447-465. Epub 2019 Dec 5.

Department of Medicine and Epidemiology, University of California, Davis, One Shields Avenue, Davis, CA 95616, USA. Electronic address: https://twitter.com/jddear.

Bacterial pneumonia is a common clinical diagnosis in dogs but seems to occur less often in cats. Underlying causes include viral infection, aspiration injury, foreign body inhalation, and defects in clearance of respiratory secretions. Identification of the specific organisms involved in disease, appropriate use of antibiotics and adjunct therapy, and control of risk factors for pneumonia improve management. Read More

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http://dx.doi.org/10.1016/j.cvsm.2019.10.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114575PMC

Efficacy of premedication with intranasal dexmedetomidine for removal of inhaled foreign bodies in children by flexible fiberoptic bronchoscopy: a randomized, double-blind, placebo-controlled clinical trial.

BMC Anesthesiol 2019 12 2;19(1):219. Epub 2019 Dec 2.

Department of Anesthesiology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan Province, China.

Background: Tracheobronchial foreign body aspiration in children is a life-threatening, emergent situation. Currently, the use of fiberoptic bronchoscopy for removing foreign bodies is attracting increasing attention. Oxygen desaturation, body movement, laryngospasm, bronchospasm, and breath-holding are common adverse events during foreign body removal. Read More

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http://dx.doi.org/10.1186/s12871-019-0892-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886218PMC
December 2019