Catheter‐Guided Basket Removal of a Difficult‐to‐Reach Pediatric Airway Foreign Body

2021 ◽  
Author(s):  
Alexander Gabinet‐Equihua ◽  
Sharon L. Cushing ◽  
Evan J. Propst ◽  
Nan Gai ◽  
Nikolaus E. Wolter
Keyword(s):  
Foreign Body ◽  
Pediatric Airway ◽  
Airway Foreign Body

Utility of Conventional Radiography in the Diagnosis and Management of Pediatric Airway Foreign Bodies

1998 ◽  
Vol 107 (10) ◽  
pp. 834-838 ◽  
Author(s):  
Andrew B. Silva ◽  
Harlan R. Muntz ◽  
Randall Clary
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Operative Intervention ◽  
Radiographic Imaging ◽  
Pediatric Airway ◽  
Diagnosis And Management ◽  
Breath Sounds ◽  
Airway Foreign Body

Pediatric airway foreign bodies are potentially life-threatening situations. The otolaryngologist is often consulted to aid in the diagnosis and management of these difficult cases. Although radiographic studies are often obtained, the decision for surgical intervention is usually based on a suspicious history and physical examination. Our hypothesis is that radiographic imaging should not alter the decision for surgical intervention. We retrospectively reviewed the cases of pediatric airway foreign bodies managed by the otolaryngology department at St Louis Children's Hospital between December 1990 and June 1996 with both radiographic imaging and operative intervention. Ninety-three cases of potential aspiration were identified, with a median patient age of 20 months. The most common presenting signs and symptoms were aspiration event (n = 82), wheezing (n = 76), decreased breath sounds (n = 47), cough (n = 39), respiratory distress (n = 17), fever (n = 16), pneumonia (n = 14), and stridor (n = 7). At the time of endoscopy, 73 patients were found to have an airway foreign body. The sensitivity and specificity of the imaging studies in identifying the presence of an airway foreign body in the 93 patients were 73% and 45%, respectively. Our decision for operative intervention was based on the history and physical examination, and was not changed in the presence of a negative radiographic study. The routine use of radiography should not alter the management of airway foreign bodies, providing that there is a well-equipped endoscopic team familiar with airway foreign bodies.

scholarly journals C-MAC® video-laryngoscope assisted removal of pediatric upper airway foreign body via apneic technique: Two case reports

2019 ◽  
Vol 7 ◽  
pp. 2050313X1882308 ◽  
Author(s):  
Seema Elina Punnoose ◽  
John Victor ◽  
Produl Hazarika ◽  
Marla SS
Keyword(s):  
Foreign Body ◽  
Clinical Symptoms ◽  
Case Reports ◽  
English Literature ◽  
Upper Airway ◽  
Interesting Case ◽  
Video Laryngoscope ◽  
Pediatric Airway ◽  
Real Time Visualization ◽  
Airway Foreign Body

C-MAC® video-laryngoscope is often used by anesthetists in difficult intubation scenarios primarily in adults. Using this C-MAC® device in two of our pediatric cases, we successfully removed the laryngeal foreign body, while the anesthetist provided the apneic technique. A systematic review of PubMed and Google Scholar for similar cases was conducted. We found only one such case report of pediatric airway foreign body removal via video-laryngoscope in the English literature. The use of this high-quality, magnified video-laryngoscope in children in an emergency scenario is often not adequately applied. This procedure provides continuous real-time visualization to both the operating surgeon as well as the anesthetist in respect to the airway and thereby reduces the chance of any untoward complications. Here, we present two interesting case reports of C-MAC® video-laryngoscope assisted removal of laryngeal foreign body via apneic technique with spontaneous ventilation performed on two different children in our facility. Both these children had clinical symptoms of upper airway obstruction with fluctuating stridor simulating croup or asthma.

scholarly journals Pediatric Airway Foreign Body Training Experience

MedEdPORTAL ◽  
2013 ◽  
Author(s):  
Garrett Griffin ◽  
Rebecca Hoesli ◽  
Marc Thorne
Keyword(s):  
Foreign Body ◽  
Training Experience ◽  
Pediatric Airway ◽  
Airway Foreign Body

The Utility of Endoscope-Assisted Rigid Bronchoscopy in Pediatric Airway Foreign Body Removals

2020 ◽  
Vol 31 (2) ◽  
pp. e217-e219 ◽  
Author(s):  
Suleyman Ozdemir ◽  
Ozgur Surmelioglu ◽  
Ozgur Tarkan ◽  
Ulku Tuncer ◽  
Mete Kiroglu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Rigid Bronchoscopy ◽  
Pediatric Airway ◽  
Airway Foreign Body

scholarly journals Delayed Diagnosis of a Pediatric Airway Foreign Body: Case Report and Review of the Literature

2002 ◽  
Vol 81 (9) ◽  
pp. 655-656 ◽  
Author(s):  
Christine B. Franzese ◽  
John M. Schweinfurth
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Delayed Diagnosis ◽  
Foreign Body Aspiration ◽  
Review Of The Literature ◽  
Pediatric Airway ◽  
Unexplained Symptoms ◽  
Airway Foreign Body ◽  
Body Case

Foreign body aspiration is a common pediatric problem that affects children of all ages, including those who are well into their adolescence. We describe the case of a 9-year old boy with an airway foreign body that had gone unrecognized for 3 months. We also review the literature on pediatric airway foreign bodies, with a focus on delayed diagnosis. A diagnosis of foreign body aspiration should be considered whenever a previously healthy child suddenly exhibits unexplained symptoms that are refractory to medical treatment and are consistent with airway obstruction.

Pediatric airway foreign body

2017 ◽  
Vol 28 (4) ◽  
pp. 265-269 ◽  
Author(s):  
Stephanie E. Ambrose ◽  
Nikhila P. Raol
Keyword(s):  
Foreign Body ◽  
Pediatric Airway ◽  
Airway Foreign Body
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