Bronchial foreign body: should bronchoscopy be performed in all patients with a choking crisis?

Autor:	J E, Barrios Fontoba, C, Gutierrez, J, Lluna, J J, Vila, J, Poquet, S, Ruiz-Company
Rok vydání:	1997
Předmět:	Airway Obstruction Diagnosis Differential Male Child Preschool Bronchoscopy Humans Infant Bronchi Female Bronchography Child Foreign Bodies Retrospective Studies
Zdroj:	Pediatric surgery international. 12(2-3)
ISSN:	0179-0358
Popis:	The aspiration of a bronchial foreign body (FB) remains a common pediatric problem with serious and sometimes fatal sequelae. The diagnosis is often delayed or overlooked. With the aim of determining a reliable clinical and/or radiologic finding to indicate the requirement for bronchoscopy, 100 patients admitted to our hospital because of FB aspiration who underwent rigid bronchoscopy were retrospectively studied. The clinical and radiologic data were compared with the bronchoscopy findings, which revealed that the history of a choking crisis was the clinical parameter that showed the highest sensitivity (97%) with high specificity (63%), and that other symptoms and radiology, even those with high sensitivity (88% and 85%, respectively), had low specificity (9%). We conclude that bronchoscopy should be performed in all patients with a history of a choking crisis even if they have normal radiologic findings and few symptoms.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::8fa647453f4b00ba2879e7b690b5003e https://pubmed.ncbi.nlm.nih.gov/9156835 Zobrazit plný text záznamu Full text from SpringerLink