DOI: 10.1097/PEC.0000000000000736
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PMID: 26928106
Issn Print: 0749-5161
Publication Date: 2016/03/01
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Excerpt
Foreign body aspiration into tracheobronchial tree represents an urgent condition at high level of risk. The ratio of male and female gender is 2:1, depending on the research. According to some authors, it can be explained allegedly with higher levels of activity and curiosity in boys.1–4 The study has been conducted for a period of 5 years. Eighteen subjects have been included in the study. The data on bronchoscopy are as follows: the period which has passed from the beginning of the difficulties to bronchoscopy, the classification of the American Society of Anesthesiologists, type of anesthesia, duration of the intervention and bronchoscopic findings about the presence of foreign body, part of the tracheobronchial tree in which the foreign body is located, and about the type of the foreign body. The ratio of the patients of male and female gender is 1:1 (9 boys and 9 girls). The youngest patient is 8 months old, and the oldest 57 months. The average age of the patient is 22.78 months. Sixteen (88.89%) of the patients is up to 3 year old. The average period from the beginning of symptoms to hospitalization is 12.11 days. Ten (55.56%) of the parents give the data on possible foreign body aspiration, whereas 8 (44.44%) give the data that aspiration has not been observed. The longest period which has passed from the beginning of symptoms to bronchoscopy is 67 days, whereas the shortest stated period of the performance of bronchoscopy is on the day of the beginning of difficulties. The average period from the beginning of the symptoms to performance of bronchoscopy is 20.11 days. Five (27.78%) of the patients have been admitted in urgent condition. With all patients, the bronchoscopy has been performed in general, most often combined anesthesia. In 14 (77.78%) of the patients, the foreign body has been found, whereas in 4 (22.22%) of the patients, the foreign body has not been seen. In 50% (n = 7) of the patients, the foreign body consisted of the food which has entered the airways through aspiration during the course of feeding. The method which represents a golden standard and which is being recommended for setting out a diagnosis and elimination of the foreign body is rigid. About the results derived from our study and the results of numerous studies, the attention should be dedicated to educating parents about the potential risks of foreign body aspiration and the methods of prevention. Bronchoscopy performed under general anesthesia.2,5
On the basis of the results of our research as well as the results of numerous studies, attention should be devoted to the education of parents about the potential risks of foreign body aspiration and prevention methods.
