scholarly journals A Protocol for the Prospective Evaluation of Novel Suction-Based Airway Clearance Devices in the Treatment of Foreign Body Airway Obstructions

Cureus ◽  
2022 ◽  
Author(s):  
Cody L Dunne ◽  
Catarina Queiroga ◽  
David Szpiman ◽  
Kayla Viguers ◽  
Selana Osman ◽  
...  
Keyword(s):  
Foreign Body ◽  
Prospective Evaluation ◽  
Airway Clearance ◽  
Airway Obstructions

scholarly journals A protocol for the multi-method evaluation of novel externally applied suction-based airway clearance devices in the treatment of foreign body airway obstructions

2021 ◽  
Author(s):  
Cody L Dunne ◽  
Ana Catarina Queiroga ◽  
David Szpilman ◽  
Kayla Viguers ◽  
Selena Osman ◽  
...  
Keyword(s):  
Foreign Body ◽  
Case Reports ◽  
A Priori ◽  
Multivariable Analysis ◽  
Theoretical Domains Framework ◽  
Structured Interviews ◽  
Airway Clearance ◽  
Published Evidence ◽  
Resuscitation Guidelines ◽  
Airway Obstructions

Background: Foreign body airway obstructions (FBAO, choking) are a significant cause of preventable mortality. Abdominal thrusts, back blows, and chest compressions are traditional interventions; however, suction-based airway clearance devices (anti-choking devices, ACDs) have recently been marketed as an alternative. Of note, there is limited published evidence regarding their efficacy and safety. Our research has two aims: 1) To investigate what situational and patient factors are frequently identified, and which are associated with relief of the FBAO, and survival, in individuals with a FBAO treated with an ACD; and 2) To describe the experience of individuals who have used ACDs in response to a FBAO and identify facilitators and barriers to the use of ACDs compared to traditional interventions. Methods and analysis: All ACD case reports collected a priori by manufacturers will be analyzed up to July 1st, 2021. Following, a prospective database will be developed using an online reporting system to capture future ACD use from July 1st, 2021 to Dec 31st, 2023. Descriptive statistics will be used to summarize cases, 58 outcomes, and adverse events. Where possible, bivariable and multivariable analysis will be employed to assess for predictors of outcomes (relief of FBAO, survival, and survival with good neurological function). Semi-structured interviews will be conducted with a subset of ACD users to describe in detail their experience using the device. Themes from these interviews will be assessed using the Theoretical Domains Framework. Ethics and dissemination: This study has ethics approval from the University of New South Wales Human Research Ethics Committee (HC210242). Findings from this multi-year, multi-method study will be published in peer reviewed literature, presented at conferences and contribute to informing future resuscitation guidelines. Data on ACDs are urgently needed as these devices are already being used by parents, caregivers, lay rescuers, and healthcare professionals

‘A parent’s kiss’: evaluating an unusual method for removing nasal foreign bodies in children

2000 ◽  
Vol 114 (8) ◽  
pp. 598-600 ◽  
Author(s):  
Marissa Botma ◽  
Roxana Bader ◽  
Haytham Kubba
Keyword(s):  
Foreign Body ◽  
Young Children ◽  
Foreign Bodies ◽  
Positive Pressure ◽  
Prospective Evaluation ◽  
First Line ◽  
Foreign Body Removal ◽  
Line Management

Nasal foreign bodies are a common problem in children. Various techniques have been described for removing the offending articles. Positive pressure techniques have long been described, and have many potential advantages, but are not yet in widespread use. The aim of this study was to evaluate the efficacy, safety and acceptability of a technique of mouth-to-mouth blowing. Of 19 children with intranasal foreign bodies, the technique was successful in 15 (79 per cent). The procedure caused little or no distress to the child, and no complications were encountered. All parents found the technique acceptable. This technique for nasal foreign body removal is, as far as we are aware, the first to be subjected to any prospective evaluation of effectiveness. We suggest that it should be used as the first line management for removing nasal foreign bodies in young children.

Iatrogenic foreign body in the bronchus

Anaesthesia ◽  
2000 ◽  
Vol 55 (10) ◽  
pp. 1036-1037 ◽  
Author(s):  
A. Dutta ◽  
K. Jain ◽  
P. Chari
Keyword(s):  
Foreign Body

Foreign Body Granulomas in the Head and Neck

1982 ◽  
Vol 15 (3) ◽  
pp. 553-559 ◽  
Author(s):  
Richard C. Bryarly ◽  
Frederick J. Stucker
Keyword(s):  
Foreign Body ◽  
Head And Neck

A Large Bullet in the Bladder

Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 139-140 ◽  
Author(s):  
Halkic ◽  
Wisard ◽  
Abdelmoumene ◽  
Vuilleumier
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gross Hematuria ◽  
Suprapubic Cystostomy ◽  
Laparoscopic Port ◽  
Urethral Trauma ◽  
Bullet Injury

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.

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