ALPER AVCI, ÖNDER ÖZDEN, ZEHRA HATİPOĞLU, SERDAR ONAT

Urgent Bronchoscopy for Foreign Body Aspiration 48 Children among 1096 Patients

Objective: Foreign body aspiration is a potentially life-threatening emer-gency in children. Urgent rigid bronchoscopy should be performed when presentation includes severe respiratory failure with suspicion for FBA. To the best of the knowledge, this is the first study that evaluates URB in English literature.Methods: Forty-eight patients who underwent urgent rigid bronchoscopy were included in this study. From the medical records, the patients’ demo-graphic characteristics, hospital arrival time, endotracheal intubation status, peripheral oxygen saturation, bronchoscopy results, type and location of for-eign body , intraoperative and postoperative complications, mortality, X-ray results, length of hospital stay were evaluated. Results: Twenty-four of the 48 patients were non-intubated. Peripheral oxy-gen saturation values were 60±14.40 in the preoperative period. There was not any statistically significant difference between intubated and non-intu-bated patients in terms of intraoperative and postoperative complications. There was not any statistically significant difference between patients with negative and positive results for bronchoscopy in terms of intraoperative and postoperative complications. Conclusions: Bronchoscopy is not without risk; however, it is a life-sav-ing procedure. Despite negative foreign body results, urgent bronchoscopy should be performed in suspicious cases.

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Richards AM. Pediatric Respiratory Emergencies. Emerg Med Clin North Am. 2016; 34(1): 77-96.[2]Elabd C, Chiellini C, Carmona M, et al. Human multipotent adipose-derived stem cells differentiate into functional brown adipocytes. Stem Cells. 2009; 27(11): 2753-2760.

Blair D, Kim R, Mills N, et al. A heuristic approach to for-eign bodies in the paediatric airway. Int J Pediatr Otorhinolaryngol. 2014; 78(12): 2262-2266.

Even L, Heno N, Talmon Y, et al. Diagnostic evaluation of foreign body aspiration in children: a prospective study. J Pediatr Surg. 2005; 40(7): 1122-1127.

Lowe DA, Vasquez R, Maniaci V. Foreign Body Aspiration in Children. Clin Pediatr Emerg M. 2015; 16(3): 140-148.

Langley R, Cunningham S. How Should Oxygen Supplementation Be Guided by Pulse Oximetry in Children: Do we Know the Level? Front Pediatr. 2017; 4.

Divisi D, Di Tommaso S, Garramone M, et al. Foreign bod-ies aspirated in children: Role of bronchoscopy. Thorac Cardiov Surg. 2007; 55(4): 249-252.

Schmidt H, Manegold BC. Foreign body aspiration in chil-dren. Surg Endosc-Ultras. 2000; 14(7): 644-648.

Sjogren PP, Mills TJ, Pollak AD, et al. Predictors of Complicated Airway Foreign Body Extraction. Laryngoscope. 2018; 128(2): 490-495.

Psooy K, Pike JG, Leonard MP. Long-term followup of pedi-atric dismembered pyeloplasty: how long is long enough? J Urol. 2003; 169(5): 1809-1812; discussion 1812; author re-ply 1812.

Nitu ME, Eigen H. Respiratory failure. Pediatr Rev. 2009; 30(12): 470 - 477; quiz 478.

Pinto A, Scaglione M, Pinto F, et al. Tracheobronchial as-piration of foreign bodies: current indications for emer-gency plain chest radiography. Radiol Med. 2006; 111(4): 497-506.

Chiu CY, Wong KS, Lai SH, et al. Factors predicting early diagnosis of foreign body aspiration in children. Pediatr Emerg Care. 2005; 21(3): 161-164.

Oncel M, Sunam GS, Ceran S. Tracheobronchial aspira-tion of foreign bodies and rigid bronchoscopy in children. Pediatr Int. 2012; 54(4): 532-535.

Eren S, Balci AE, Dikici B, et al. Foreign body aspiration in children: experience of 1160 cases. Ann Trop Paediatr. 2003; 23(1): 31-37.

Rovin JD, Rodgers BM. Pediatric foreign body aspiration. Pediatr Rev. 2000; 21(3): 86-90.

Worrell SG, Demeester SR. Thoracic emergencies. Surg Clin North Am. 2014; 94(1): 183-191.

Mani N, Soma M, Massey S, et al. Removal of inhaled for-eign bodies--middle of the night or the next morning? Int J Pediatr Otorhinolaryngol. 2009; 73(8): 1085-1089.

Lopez Munoz AC, Busto Aguirreurreta N, Tomas Braulio J. [Preoperative fasting guidelines: an update]. Rev Esp Anestesiol Reanim. 2015; 62(3): 145-156.

Jang JY, Park JO, Ryu J, et al. Real-time video-assisted re-trieval of airway foreign body in very young pediatric pa-tients. Clin Exp Otorhinolaryngol. 2014; 7(4): 329-333.

Kosloske AM. Bronchoscopic extraction of aspirated for-eign bodies in children. Am J Dis Child. 1982; 136(10): 924-927.