Management of Foreign Body Aspiration in Children: Insights From 664 Cases in the Operating Room
Tracheal or bronchial foreign body aspiration is an important emergency o childhood requiring bronchoscopy under general anesthesia. In this retrospective study, bronchoscopy were performed for foreign body aspiration; anesthesia methods, risks, and postoperative complications were evaluated. Childr...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2023-09-01
|
| Series: | The Journal of Pediatric Academy |
| Subjects: | |
| Online Access: | https://jpediatricacademy.com/index.php/jpa/article/view/234 |
| _version_ | 1827805931304386560 |
|---|---|
| author | Sibel Seçkin Pehlivan Özlem Öz Gergin Ebru Sönmez Adnan Bayram Recep Aksu Ömer Önal Cihangir Biçer |
| author_facet | Sibel Seçkin Pehlivan Özlem Öz Gergin Ebru Sönmez Adnan Bayram Recep Aksu Ömer Önal Cihangir Biçer |
| author_sort | Sibel Seçkin Pehlivan |
| collection | DOAJ |
| description | Tracheal or bronchial foreign body aspiration is an important emergency o childhood requiring bronchoscopy under general anesthesia. In this retrospective study, bronchoscopy were performed for foreign body aspiration; anesthesia methods, risks, and postoperative complications were evaluated. Children who underwent bronchoscopy with suspicion of a foreign body in the pediatric surgery operating room between January 2010 and December 2021 were included in the study. Six hundred and sixty four children were evaluated. General anesthesia was applied to all bronchoscopy. Demographic characteristics of the patients, type of foreign body, localization of foreign body, distribution of foreign body according to age groups, complications related to anesthesia and surgical process, length of stay in the postoperative intensive care unit, and duration of hospital stay were evaluated. The patients who aspirated foreign bodies most frequently were children aged 1-3 years (73.6%). During bronchoscopy, organic matter (seeds, hazelnuts, peanuts, chickpeas) was the most frequently removed foreign body in children (559 patients). It was observed that foreign bodies were mostly located in the right main bronchus at a rate of 52.4%, the left main bronchus at 28%. The most common anesthesia-related complications were desaturation in 400 patients, hypercarbia in 200 patients, bronchospasm in 108 patients, and respiratory arrest in 2 patients. Many problems may be encountered in foreign body inhalation, and bronchoscopy of these patients should be performed by an experienced anesthesiologist and surgeon at the right time and in the safest way in terms of anesthesia and surgery. |
| first_indexed | 2024-03-11T21:34:14Z |
| format | Article |
| id | doaj.art-cc8e3b8456dd40da9b49a7431c45db87 |
| institution | Directory Open Access Journal |
| issn | 2718-0875 |
| language | English |
| last_indexed | 2024-03-11T21:34:14Z |
| publishDate | 2023-09-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | The Journal of Pediatric Academy |
| spelling | doaj.art-cc8e3b8456dd40da9b49a7431c45db872023-09-27T06:03:25ZengGalenos Publishing HouseThe Journal of Pediatric Academy2718-08752023-09-014310711210.4274/jpea.2023.234184Management of Foreign Body Aspiration in Children: Insights From 664 Cases in the Operating RoomSibel Seçkin Pehlivan0https://orcid.org/0000-0003-3215-5616Özlem Öz Gergin1https://orcid.org/0000-0002-1720-0194Ebru Sönmez2https://orcid.org/0009-0006-8988-0615Adnan Bayram3https://orcid.org/0000-0002-6700-8301Recep Aksu4https://orcid.org/0000-0001-7825-2134Ömer Önal5https://orcid.org/0000-0002-9971-7401Cihangir Biçer6https://orcid.org/0000-0001-8163-6681Erciyes University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kayseri, TurkeyErciyes University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kayseri, TurkeyErciyes University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kayseri, TurkeyErciyes University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kayseri, TurkeyErciyes University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kayseri, TurkeyErciyes University Faculty of Medicine, Department of Thoracic Surgery, Kayseri, TurkeyErciyes University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kayseri, TurkeyTracheal or bronchial foreign body aspiration is an important emergency o childhood requiring bronchoscopy under general anesthesia. In this retrospective study, bronchoscopy were performed for foreign body aspiration; anesthesia methods, risks, and postoperative complications were evaluated. Children who underwent bronchoscopy with suspicion of a foreign body in the pediatric surgery operating room between January 2010 and December 2021 were included in the study. Six hundred and sixty four children were evaluated. General anesthesia was applied to all bronchoscopy. Demographic characteristics of the patients, type of foreign body, localization of foreign body, distribution of foreign body according to age groups, complications related to anesthesia and surgical process, length of stay in the postoperative intensive care unit, and duration of hospital stay were evaluated. The patients who aspirated foreign bodies most frequently were children aged 1-3 years (73.6%). During bronchoscopy, organic matter (seeds, hazelnuts, peanuts, chickpeas) was the most frequently removed foreign body in children (559 patients). It was observed that foreign bodies were mostly located in the right main bronchus at a rate of 52.4%, the left main bronchus at 28%. The most common anesthesia-related complications were desaturation in 400 patients, hypercarbia in 200 patients, bronchospasm in 108 patients, and respiratory arrest in 2 patients. Many problems may be encountered in foreign body inhalation, and bronchoscopy of these patients should be performed by an experienced anesthesiologist and surgeon at the right time and in the safest way in terms of anesthesia and surgery.https://jpediatricacademy.com/index.php/jpa/article/view/234anaesthesiaforeign body aspirationrigid bronchoscopy |
| spellingShingle | Sibel Seçkin Pehlivan Özlem Öz Gergin Ebru Sönmez Adnan Bayram Recep Aksu Ömer Önal Cihangir Biçer Management of Foreign Body Aspiration in Children: Insights From 664 Cases in the Operating Room The Journal of Pediatric Academy anaesthesia foreign body aspiration rigid bronchoscopy |
| title | Management of Foreign Body Aspiration in Children: Insights From 664 Cases in the Operating Room |
| title_full | Management of Foreign Body Aspiration in Children: Insights From 664 Cases in the Operating Room |
| title_fullStr | Management of Foreign Body Aspiration in Children: Insights From 664 Cases in the Operating Room |
| title_full_unstemmed | Management of Foreign Body Aspiration in Children: Insights From 664 Cases in the Operating Room |
| title_short | Management of Foreign Body Aspiration in Children: Insights From 664 Cases in the Operating Room |
| title_sort | management of foreign body aspiration in children insights from 664 cases in the operating room |
| topic | anaesthesia foreign body aspiration rigid bronchoscopy |
| url | https://jpediatricacademy.com/index.php/jpa/article/view/234 |
| work_keys_str_mv | AT sibelseckinpehlivan managementofforeignbodyaspirationinchildreninsightsfrom664casesintheoperatingroom AT ozlemozgergin managementofforeignbodyaspirationinchildreninsightsfrom664casesintheoperatingroom AT ebrusonmez managementofforeignbodyaspirationinchildreninsightsfrom664casesintheoperatingroom AT adnanbayram managementofforeignbodyaspirationinchildreninsightsfrom664casesintheoperatingroom AT recepaksu managementofforeignbodyaspirationinchildreninsightsfrom664casesintheoperatingroom AT omeronal managementofforeignbodyaspirationinchildreninsightsfrom664casesintheoperatingroom AT cihangirbicer managementofforeignbodyaspirationinchildreninsightsfrom664casesintheoperatingroom |