Foreign bodies causing asphyxiation in children: the experience of the Buenos Aires paediatric ORL clinic.
Inhalation or aspiration of a foreign body (FB) occurs relatively frequently in young children. The size, shape, type and site of arrest of the FB lead to variability in the clinical picture. The present study included data from 65 cases of FB inhalation presenting over 1 year at the Children's Hospital Gutierrez, Buenos Aires, Argentina, compared with information from four well-known published case series chosen as representative of other cultural and geographical backgrounds: the USA, Europe, North Africa (Egypt) and Asia (India). The mean age of children studied was 4.03 years. Injuries happened mainly at home (53 cases [81.54%]) and under adult supervision (59 cases [90.77%]). The most frequently inhaled FB was nuts, however, in contrast to previous reports, the majority of incidents involved inhalation of an inorganic, rather than an organic (food) FB. Complications included pneumonia (three cases), atelectasis (two cases) and pneumonitis (one case). No deaths were recorded. These data suggest that children play with objects inappropriate for their age, such as pins and nails, that adults may not be aware of the choking risks, and that more effort is required in educating caregivers about these risks.
Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
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Chinski
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Foltran
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Gregori
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Passali
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Bellussi
D000328:Adult; D000402:Airway Obstruction; D001237:Asphyxia / Q000209:etiology* / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male; D011014:Pneumonia / Q000209:etiology* / Q000628:therapy; D001261:Pulmonary Atelectasis / Q000209:etiology* / Q000628:therapy; D012307:Risk Factors; D015996:Survival Rate