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Disabling the lower respiratory ways in children with foreign bodies

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dc.contributor.author Raschkov, V.
dc.contributor.author Guzgan, M.
dc.contributor.author Garbi, I.
dc.contributor.author Erchov, E.
dc.date.accessioned 2022-06-06T12:39:49Z
dc.date.available 2022-06-06T12:39:49Z
dc.date.issued 2017
dc.identifier.citation RASCHKOV, V., GUZGAN, M., GARBI, I., ERCHOV, E. Disabling the lower respiratory ways in children with foreign bodies. In: Moldavian Journal of Pediatric Surgery. 2017, no. 1, p. 113. ISSN 2587-3229. en_US
dc.identifier.issn 2587-3210
dc.identifier.issn 2587-3229
dc.identifier.uri https://sncprm.info.md/journal
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/20880
dc.description.abstract Introduction. Aspiration of the foreign body is the accidental penetration by pharynx and larynx of objects or pieces of objects, food in the lower airways, which produce a state of asphyxia with vital danger to the child. Material and methods. A retrospective study was performed on a group of 123 children aged 11 months -16 years, hospitalized for the period 2013-2017 at the Mother and Child Institute. Diagnosis at admission: pneumonia, bronchopneumonia or foreign body suspected in respiratory tract.In order to establish the diagnosis, paraclinical methods - radiography and bronchoscopy were used. Of the total number of patients, 81 (65.8%) and 42 (34.1%) were hospitalized in an emergency.Endoscopic diagnosis and foreign body extraction were performed with two types of bronchoscopes: Karl Sorz pediatric rigid bronchoscope and flexible BF 3C 160 and BF 1TQ 170 Olympus videobronchoscope. Clinical cases of the greatest difficulty have been resolved by a mixed approach.The origin of foreign bodies: organic - 79 (64.2%), inorganic in 44 (35.7%) children. The location of foreign bodies was the following: tracheal level -1.8%, right bronchus lumen - 64.7%, and left - 33.5%. Associated decubitus lesions were present in 11.3% of cases. Granular masses at the foreign body level were documented in 67.2% (34.2% of them were with the duration of the presence of the foreign body up to 7 days). Contact bleeding during extraction occurred in 16.7% of cases. In 4,8% cases the bronchial mucosa was not affected. In 5 cases (4.0%) the foreign body was deeply incarcerated in the bronchial wall. Results. Extraction of foreign bodies by flexible videobronchoscope was obtained in 7 patients (5.6%). By rigid bronchoscope foreign bodies were extracted from 111 patients (90.2%). In 5 children (4.0%) access to visualization to the foreign body was possible via flexible videobronchoscope, but extraction – via rigid bronchoscopy. Conclusion. In the pediatric prenatal extraction of foreign bodies in the lower respiratory tract, the main part belongs to rigid apparatus bronchoscopy with the selection of the age-appropriate insertion tube. en_US
dc.language.iso en en_US
dc.publisher National Society of Pediatric Surgery of the Republic of Moldova en_US
dc.relation.ispartof Moldavian Journal of Pediatric Surgery: Pediatric Surgery International Conference “Performances and perspectives in the pediatric surgery development”, September 14-16, 2017, Chisinau, Republic of Moldova en_US
dc.title Disabling the lower respiratory ways in children with foreign bodies en_US
dc.type Other en_US


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