Review article
https://doi.org/10.20471/acc.2023.62.s1.13
Foreign Body Aspiration and Ingestion in Children
Marijana Karišik
; Department of Anesthesiology and Intensive Care, Institute for Children Diseases, Clinical Center of Montenegro, Podgorica, Montenegro; University of Montenegro, Faculty of Medicine, Podgorica, Montenegro
Abstract
Aspiration and ingestion of a foreign body is most frequently seen in children younger
than 3 years. Foreign body aspiration is always a life-threatening, urgent state demanding quick recognition
and treatment to avoid potentially lethal complications. Most foreign bodies that are ingested
pass spontaneously through the gastrointestinal tract without complications, however, some could lead
to problems if they become lodged. A literature review was performed via MEDLINE database using
key terms. Primary care providers should be trained to give proper initial care. Aspirated/ingested foreign
bodies in children removed by rigid or flexible bronchoscopy/gastroscopy always are challenging procedures
that require well-planned anesthesia management and excellent intercommunication between
anesthesiologists and surgeons. Extracorporeal membrane oxygenation can be used as a rescue mode
of support in children with life-threatening foreign body aspiration for stabilization before, during and
after removal of the aspirated foreign body. It is of utmost importance that all foreign body extractions, if
possible, be done in centers supplied with all the necessary equipment and trained personnel. However,
prevention of foreign body aspiration and ingestion is still the best therapy.
Keywords
Aspiration of foreign body in children; Ingestion of foreign body in children; Airway management; Anesthesia
Hrčak ID:
307512
URI
Publication date:
1.4.2023.
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