Aero - Digestive Foreign Bodies in Tertiary Care Hospital of Madhya Pradesh: A Retrospective Study
Authors/Creators
- 1. Assistant Professor, Department of Anaesthesia, Gandhi Medical College Bhopal, Madhya Pradesh, India
- 2. Resident, Department of Anaesthesia, Gandhi Medical College Bhopal, Madhya Pradesh, India
Description
Background: There is plenty of data available regarding ingestion and aspiration of foreign body in young children. Children between the age of 1-4 years, are at maximum risk for foreign-body aspiration or ingestion due to their inquisitive nature and tendency to explore objects with their mouths. Aim and Objective: To audit data regarding most common type and site of foreign body, common age group of presentation, intervention done, mode of anaesthesia provided and perioperative complications. Materials and Methods: A retrospective study was conducted by analysing data of patients who underwent bronchoscopy and oesophagoscopy for aerodigestive foreign body from January 2021 to January 2022 at Department of Anaesthesiology, Gandhi Medical College and Hamidia Hospital, Bhopal. Patients were audited for age, gender, types of foreign body, site (location), intervention for removal of foreign body (FB), mode of anaesthesia and perioperative complications. Result: The youngest patient in our study was 8 months old while the oldest was 60 years old. The male: female ratio of 3:2. The most common site of impaction was cricopharynx in food passage (66%) and right bronchus in FB airway (65%). The most common foreign body digestive tract was coin (60%) and FB airway was organic type i.e peanut (50%). Most of the cricopharynx foreign body were removed by oesophagoscopy and direct laryngoscopy under general anaesthesia and controlled ventilation whereas bronchus foreign body were removed by bronchoscopy under general anaesthesia intermittent positive pressure ventilation. Major Complications such as desaturation (<90%), bradycardia, bronchospasm, wheeze, stridor were noted in patients with foreign body aspiration in which bronchoscopy were performed. No such complications noted during oesophagoscopy, laryngoscopy. Conclusion: The majority of FB aspirations occurred in children aged three years or less with more common incidence in males. Peanut was the most common aspirated organic foreign body with a majority being localized in the right bronchus & coins were the most common foreign body in cricopharynx. In majority of the patients, the aspirated foreign bodies were retrieved successfully by rigid bronchoscopy under general anaesthesia with intermittent positive pressure ventilation & ingested foreign body were retrieved by oesophagoscopy under general anaesthesia.
Abstract (English)
Background: There is plenty of data available regarding ingestion and aspiration of foreign body in young children. Children between the age of 1-4 years, are at maximum risk for foreign-body aspiration or ingestion due to their inquisitive nature and tendency to explore objects with their mouths. Aim and Objective: To audit data regarding most common type and site of foreign body, common age group of presentation, intervention done, mode of anaesthesia provided and perioperative complications. Materials and Methods: A retrospective study was conducted by analysing data of patients who underwent bronchoscopy and oesophagoscopy for aerodigestive foreign body from January 2021 to January 2022 at Department of Anaesthesiology, Gandhi Medical College and Hamidia Hospital, Bhopal. Patients were audited for age, gender, types of foreign body, site (location), intervention for removal of foreign body (FB), mode of anaesthesia and perioperative complications. Result: The youngest patient in our study was 8 months old while the oldest was 60 years old. The male: female ratio of 3:2. The most common site of impaction was cricopharynx in food passage (66%) and right bronchus in FB airway (65%). The most common foreign body digestive tract was coin (60%) and FB airway was organic type i.e peanut (50%). Most of the cricopharynx foreign body were removed by oesophagoscopy and direct laryngoscopy under general anaesthesia and controlled ventilation whereas bronchus foreign body were removed by bronchoscopy under general anaesthesia intermittent positive pressure ventilation. Major Complications such as desaturation (<90%), bradycardia, bronchospasm, wheeze, stridor were noted in patients with foreign body aspiration in which bronchoscopy were performed. No such complications noted during oesophagoscopy, laryngoscopy. Conclusion: The majority of FB aspirations occurred in children aged three years or less with more common incidence in males. Peanut was the most common aspirated organic foreign body with a majority being localized in the right bronchus & coins were the most common foreign body in cricopharynx. In majority of the patients, the aspirated foreign bodies were retrieved successfully by rigid bronchoscopy under general anaesthesia with intermittent positive pressure ventilation & ingested foreign body were retrieved by oesophagoscopy under general anaesthesia.
Files
IJPCR,Vol15,Issue2,Article125.pdf
Files
(3.9 MB)
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Additional details
Dates
- Accepted
-
2023-02-21
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue2,Article125.pdf
- Development Status
- Active
References
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