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Foreign Body Aspiration


Presentation

  • No correlations between event symptoms, hospital presentation, radiographs and foreign body presence. CONCLUSION: Event history, hospital presentation, and radiographs are insufficient in proving the absence of a radiolucent foreign body.[ncbi.nlm.nih.gov]
  • Forty-eight (30.3%) children were presented late (more than 14 days after FBA) and 110 (69.7%) children were presented early (0-14 days). The common clinical manifestations of FBA were persistent cough (100%) and choking (72%).[ncbi.nlm.nih.gov]
  • Food related FBs were present in 30 cases (peanut 54.1%) and inorganic FBs were present in seven cases.[ncbi.nlm.nih.gov]
  • RESULTS: Three children presented with airway foreign body and required ECMO for successful removal. Mean age was 18 months. Presenting symptoms included severe and worsening respiratory distress.[ncbi.nlm.nih.gov]
  • Majority of children presented in the late diagnosis group (59.29% vs. 40.71%). The penetration syndrome was observed in 22% of patients.[ncbi.nlm.nih.gov]
Weight Gain
  • Abstract A five-year-old boy presented with progressive weight gain with effort intolerance and nocturnal symptoms suggesting obstructive sleep apnoea. A clinical diagnosis of Prader-Willi Syndrome was made.[ncbi.nlm.nih.gov]
Sulfur Granules
  • We diagnosed actinomycosis by the presence of sulfur granules in the bronchial wash cytology. We removed the foreign bodies, which were identified as fish bones, by rigid bronchoscopy.[ekjm.org]
Cough
  • The child was investigated for chronic wet cough. Immunoglobulins, sweat test and chest x-ray were all normal. There was no history suggestive of foreign body aspiration (FBA). Tracheomalacia was considered in view of the nature of the cough.[ncbi.nlm.nih.gov]
  • FBA typically manifests with sudden onset of coughing and choking, followed by stridor and dyspnea .[amboss.com]
  • We hereby report a case of peanut aspiration that was coughed out by the patient directly after treatment with nebulized salbutamol.[ncbi.nlm.nih.gov]
  • The most frequent findings in history and physical examination were paroxysmal cough (81%), chocking (42%), chronic cough (42%),and respiratory distress (18%).[erj.ersjournals.com]
  • KEYWORDS: airway obstruction; blowgun dart; cough; foreign body aspiration[ncbi.nlm.nih.gov]
Dyspnea
  • The degree of dyspnea should be evaluated immediately, and patients in different dyspnea should be treated accordingly. For patients in Grade I dyspnea, simple bronchoscopic FBs removals could promise a good outcome.[ncbi.nlm.nih.gov]
  • The patient was installing lights in his bakery, when he began to experience symptoms of dyspnea, so he took his inhaler (that did not have the mouthpiece cover in place) from his pocket, and used it.[archbronconeumol.org]
  • FBA typically manifests with sudden onset of coughing and choking, followed by stridor and dyspnea .[amboss.com]
  • We are reporting on a case of a fiftythree- year old women with recurrent, non-resolving pneumonia, recurrent hemoptysis, dyspnea, fiver, chest pain and radiological presentation of middle lobe neoplasm caused by aspirated chicken neck bone.[ncbi.nlm.nih.gov]
  • RESULTS: (1) In the geriatric group, the most common symptoms were cough and sputum (15 cases, 88%), dyspnea (six cases, 35%), and hemoptysis (four cases, 24%).[ncbi.nlm.nih.gov]
Gagging
  • Glycosaminoglycans (GAG) accumulate in musculoskeletal system, connective tissues. Enlarged tongue, short immobile neck, and limited mobility of the cervical spine and temporomandibular joints render the airway management potentially risky.[ncbi.nlm.nih.gov]
  • RESULTS: Penetration syndrome (sudden onset coughing, choking and gagging) (89.2%) and decreased breath sounds (86.5%) were the most common clinical features. Cough, respiratory difficulty and fever were present in 83.8%, 78.4% and 27% respectively.[ncbi.nlm.nih.gov]
  • The most common presenting symptoms were cough (88%), choking/gagging (67%), and wheezing (57%). Decreased breath sounds and wheezing on examination were independently associated with increased odds of foreign body.[ncbi.nlm.nih.gov]
  • Presentation Lecture Pearls Diagnosis Treatment Patient will present as a 2-year-old male child who is brought to the emergency department by his mother with a sudden onset of choking, gagging, coughing, and wheezing.[smartypance.com]
  • His mother is unsure if he had eaten anything else with the potato chips and does not think the child turned blue during the choking and gagging episode.[hawaii.edu]
Hypertension
  • The patient was a 55-year-old male with no history of hypertension, diabetes, or pulmonary tuberculosis. About 5 years ago, he had an episode of choking while eating fish, and had suffered a chronic cough and sputum since that episode.[ekjm.org]
Eruptions
  • Young children chew their food incompletely with incisors before their molars erupt. Objects or fragments may be propelled posteriorly, triggering a reflex inhalation.[emedicine.medscape.com]

Workup

  • Workup revealed air trapping and bronchoscopy showed aspirated foreign material in the right mainstem bronchus. Histopathology revealed fungal organisms suggestive of Aspergillus within an ulcer of the adjacent bronchial mucosa.[ncbi.nlm.nih.gov]
Cavitary Lesion
  • She had persistent infiltration and cavitary lesion mimicking cavitary tuberculosis. There was no contact history with tuberculosis in her family and acid resistant bacillus was not found in the sputum examination.[ncbi.nlm.nih.gov]

Treatment

  • The remaining 118 (53.6%) cases had a delayed treatment.[ncbi.nlm.nih.gov]
  • Review scheduled treatment with patient. Discuss and document the risks associated with treatment (and non-treatment). Have an appropriate informed consent document (per rule of law).[zyris.com]
  • treatment and bronchoscopy-based diagnosis of FBA.[ncbi.nlm.nih.gov]
  • Treatment Treatment involves managing the person's ability to breathe and removing the foreign body. If the person is not able to breathe, airway support and urgent removal is very important.[ada.com]
  • We report two separate cases of aspiration risk developing during the course of dental treatment. KEYWORDS: Dental treatment; early bronchoscopy; foreign body aspiration[ncbi.nlm.nih.gov]

Prognosis

  • Local environments have an important influence on the types of objects aspirated, location in the tracheobronchial tree, and prognosis.[emedicine.medscape.com]
  • Prognosis: Good, directly related to the timeliness of diagnosis and treatment.[kidsdoc.at]
  • The positive predictive value for a single prognosis in this sample is 74% and the negative predictive value is 90%. We are unable to explain why hypersalivation as a pre-hospital symptom decreases the probability of an FBA.[academic.oup.com]
  • Treatment and prognosis Bronchoscopy is considered the gold standard in the diagnosis of tracheobronchial tree foreign bodies 3 , with the added benefit of being able to potentially retrieve the foreign body.[radiopaedia.org]

Etiology

  • The cases highlight that clinicians must remain vigilant for co-morbidities in an asthma exacerbation, and less common etiologies of PM and SCE, such as foreign body aspiration, should also be carefully considered in asthmatic children.[ncbi.nlm.nih.gov]
  • The aim of our study was to determine the clinical spectrum, the demographic, and also the etiology of FBA in children.[erj.ersjournals.com]
  • On admission, a computed tomographic (CT) scan of the chest was obtained to search for another etiology of her exacerbated respiratory distress. CT results revealed a soft tissue density in the right lower lobe bronchus ( Figure 1 ) .[aafp.org]
  • Etiology Pathophysiology Aspiration of a FB airway obstruction Complete obstruction collapse of the respiratory structures distal to the obstruction (e.g., atelectasis ) .[amboss.com]

Epidemiology

  • Epidemiology References: [1] Epidemiological data refers to the US, unless otherwise specified.[amboss.com]
  • OBJECTIVES: The objective of this study is to analyze the epidemiological, clinical, radiological and endoscopic characteristics of pediatric foreign body aspiration in Algeria.[ncbi.nlm.nih.gov]
  • Explore and learn more about Conference Series LLC LTD : World’s leading Event Organizer Back Biography Biography: Aderrahmane Boufersaoui Abstract Objectives: Th e objective of this study is to analyze the epidemiological, clinical, radiological and[pediatrics.conferenceseries.com]
  • Epidemiology Aspiration of foreign bodies by children can lead to serious illness and sometimes even death.[pedsinreview.aappublications.org]
  • Carluccio F, Romeo R (1997) Inhalation of foreign bodies: epidemiological data and clinical considerations in the light of a statistical review of 92 cases. ActaOtorhinolaryngolItal 17: 45-51.[aclr.com.es]
Sex distribution
Age distribution

Pathophysiology

  • Etiology Pathophysiology Aspiration of a FB airway obstruction Complete obstruction collapse of the respiratory structures distal to the obstruction (e.g., atelectasis ) .[amboss.com]
  • A high index of suspicion is required for prompt diagnosis.[ 7 ] Any patient who has a severe coughing fit after oral exposure to a high-risk object should be considered to have a bronchial foreign body until proven otherwise.[ 8 ] Pathophysiology Pathophysiological[bcmj.org]

Prevention

  • Prevention Keeping small objects like coins, buttons, button batteries away from small children, teaching them to chew well and advising them not to talk or play while eating can prevent a foreign body ingestion in young kids.[ada.com]
  • Abstract Foreign body aspiration (FBA) is a preventable cause of mortality and morbidity in children. We conducted a chart review of children who presented to a university hospital due to FBA in the period 1999-2014.[ncbi.nlm.nih.gov]
  • Primary and secondary prevention measures need to be implemented. 10 We believe that at present, primary prevention is the key area in the fight against this problem.[analesdepediatria.org]
  • Choking and aspiration involve the interaction between an object and the airway in such a way as to prevent breathing from being fully effective.[accesspediatrics.mhmedical.com]
  • Conclusion: Public awareness through mass media needs attention to prevent foreign body inhalation. High index of clinical suspician is mandatory for early diagnosis and management to prevent fatal outcome and long term morbidity (JPMA 49:33, 1999).[jpma.org.pk]

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