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Schimpl, G; Weber, G; Haberlik, A; Höllwarth, ME.
Foreign body aspiration in children. The advantages of emergency endoscopy and foreign body removal
ANAESTHESIST 1991 40: 479-482.
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Leading authors Med Uni Graz: Schimpl Guenther
Co-authors Med Uni Graz: Haberlik Axel; Höllwarth Michael
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Abstract:: In the last 15 years, 124 children with a history and clinical signs of aspiration have been managed by emergency rigid endoscopy under general anesthesia. In 115 (93%) of them a foreign body could be identified, which was successfully removed by forceps extraction in 114. Only 1 patient required a thoracotomy for removal of a distally located aspirated needle. The remaining 9 patients (7%) had a typical history and clinical signs of an aspiration, but no aspirated foreign body was found on endoscopy. Most of the children (102, or 82%) were admitted within 12 h after aspiration, while 22 (18%) had a history of foreign body aspiration between 2 days and 5 weeks before. Complications occurred in only 3% (3 children) of the 102 who underwent endoscopy within 12 h as against 50% (11 patients) of the 22 children in whom this was delayed. In all cases of foreign body aspiration and endoscopical removal within 12 h, the patients were discharged after a plain chest X-ray the following day. In children with chronic endotracheal foreign bodies, in 80% a second endoscopy after 48 h was indicated, and the mean stay in hospital was extended to 7 days. Emergency rigid tracheobronchoscopy and forceps removal of aspirated foreign bodies under general anesthesia and with meticulous perioperative monitoring is a safe and effective procedure with no mortality. Even in suspected aspiration or chronic bronchopulmonary infections, liberal use of endoscopy is recommended.
Find related publications in this database (using NLM MeSH Indexing): Anesthesia, General -; Bronchi -; Bronchoscopy -; Child -; Child, Preschool -; English Abstract -; Female -; Foreign Bodies - diagnosis; Humans - diagnosis; Infant - diagnosis; Inhalation - diagnosis; Male - diagnosis; Retrospective Studies - diagnosis; Trachea - diagnosis