Foreign Body Aspiration in Adults and in Children
| Autor: | Emanuela Burlone, Marco Toschi, Davoud Ghasempour, Angelo Gianni Casalini, Daniele Barantani, Raffaele D’Ippolito, Giovanna Pisi, Maurizio Monica, Maria Majori, Miriam Anghinolfi |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Pediatrics Delayed Diagnosis Adolescent MEDLINE Time-to-Treatment Bronchoscopies Young Adult Age Distribution Bronchoscopy Intervention (counseling) Humans Medicine Young adult Child False Negative Reactions Aged Aged 80 and over medicine.diagnostic_test business.industry Age Factors Infant Middle Aged Foreign Bodies medicine.disease Endoscopy Airway Obstruction Hospitalization Radiography Inhalation Italy Foreign body aspiration Child Preschool Emergency medicine Critical Pathways Female Clinical Competence Foreign body Emergency Service Hospital business |
| Zdroj: | Journal of Bronchology & Interventional Pulmonology. 20:313-321 |
| ISSN: | 1944-6586 |
| DOI: | 10.1097/lbr.0000000000000024 |
| Popis: | Background Foreign body (FB) inhalation is a potentially life-threatening emergency also in clinically stable patients as the situation could worsen at any moment. There is varying opinion regarding the urgency for removal of inhaled FBs, and there are no guidelines in the literature. The aim of our study was to present our experience with FB aspiration in children and adults from 1993, when we introduced our Thoracic Endoscopy Service with the availability "on call" of a bronchologist 24 hours a day, 7 days a week, defining a dedicated protocol together with our anaesthesiologists for prompt intervention in this situation. Methods We consulted our database and examined the records of all patients undergoing bronchoscopy for suspected FB aspiration from 1993 onwards; our previous experience of 11 children and 14 adults with FBs from 1981 to 1992 was also included to compare the results obtained. Results In this period, we removed 159 FBs (in 70 children and 89 adults) and performed 23 negative bronchoscopies in children and 6 in adults for suspected aspiration. All FBs were removed successfully. We were able to intervene immediately also in critical situations: in 60/70 children within 24 hours of admission to hospital, in 44 of these 60 on the actual day of admission, thus avoiding a potentially dangerous delay between aspiration and removal. We had no complications, and no patients needed surgery. Conclusions We conclude that an efficient organization involving a dedicated protocol of intervention, trained staff available 24 hours a day, 7 days a week, appropriate setting, and the right instrumentation enabled us to tackle this important emergency. |
| Databáze: | OpenAIRE |
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