Atypical foreign body aspiration in a pediatric palliative care patient: case report

Yıl 2022, Cilt: 32 Sayı: 2, 225 - 228, 29.04.2022

Ganime Ayar , Süleyman Arif Bostancı , Şükrüye Demirkaya

https://doi.org/10.54005/geneltip.1004976

Öz

The foreign body aspiration into the respiratory system is an emergency situation with a high mortality rate, when diagnosis and treatment are delayed which can cause complications and repeated hospitalizations. Although it is especially common in children under the age of five, it can be seen at any age in chronically ill children with neurological problems. However, it is rarely seen in pediatric patients with tracheostomy and dependent on a home mechanical ventilator due to their nutritional style and severe neurological retardation. In this study, foreign body aspiration that developed in a pediatric patient with tracheostomy who was followed up with a home mechanical ventilator and fed from gastrostomy was presented.

Anahtar Kelimeler

aspiration, foreign body, palliative care, child

Çocuk palyatif bakım hastasında atipik bir yabancı cisim aspirasyonu: olgu sunumu

Öz

Solunum sistemine yabancı cisim aspirasyonu mortalitesi yüksek olan, tanı ve tedavide gecikildiğinde komplikasyonlara ve tekrarlı yatışlara neden olabilen acil bir durumdur. Özellikle beş yaş altı çocuk hastalarda sık görülmesine rağmen, nörolojik problemlere sahip kronik hasta çocuklarda her yaşta görülebilir. Ancak trakeostomili ve ev tipi mekanik ventilatöre bağımlı yaşayan çocuk hastalarda ağır nöroloji gerilik ve beslenme şekli ile ilgili olarak nadiren görülmektedir. Bu çalışmada trakeostomili ve ev tipi mekanik ventilatör ile izlemde olan ve gastrostomiden beslenen bir çocuk hastada gelişen yabancı cisim aspirasyonu sunulmuştur.

Anahtar Kelimeler

aspirasyon, yabancı cisim, palyatif bakım, çocuk

Kaynakça

• Referans1. Cramer N, Jabbour N, Tavarez MM, Taylor RS. Foreign body aspiration. 2021;Aug 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–. PMID: 30285375.
• Referans2. DeRowe A, Massick D, Beste DJ. Clinical characteristics of aero-digestive foreign bodies in neurologically impaired children. International journal of pediatric otorhinolaryngology. 2002;62(3):243-8.
• Referans3. Weir K, McMahon S, Barry L, Ware R, Masters IB, Chang AB. Oropharyngeal aspiration and pneumonia in children. Pediatric pulmonology. 2007;42(11):1024-31.
• Referans4. Chelluri LP. Quality and performance improvement in critical care. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine. 2008;12(2):67.
• Referans5. Bajaj D, Sachdeva A, Deepak D. Foreign body aspiration. Journal of Thoracic Disease. 2020;13(8):5159-75.
• Referans6. Na’ara S, Vainer I, Amit M, Gordin A. Foreign body aspiration in infants and older children: a comparative study. Ear, Nose & Throat Journal. 2020;99(1):47-51.
• Referans7. Hirsch AW, Monuteaux MC, Fruchtman G, Bachur RG, Neuman MI. Characteristics of children hospitalized with aspiration pneumonia. Hospital pediatrics. 2016;6(11):659-66.
• Referans8. Chiaravalli J, Lufesi N, Shawa E, Nkhoma V, Sigalet E, Dubrowski A. Management of an obstructed tracheostomy in a limited-resource setting. Cureus. 2017;9(5). Referans9. Tanrıverdİ Hİ, Şenel U. Çocuklarda yabancı cisim aspirasyonlarında, fizik muayene ve radyografi bulgularının tanıdaki etkinlikleri. Çocuk Cerrahisi Dergisi.29(1):35-9.
• Referans10. Sattar A, Ahmad I, Javed AM, Anjum S. Diagnostic accuracy of chest x-ray in tracheobronchial foreign body aspiration in paediatric patients. Journal of Ayub Medical College Abbottabad. 2011;23(4):103-5.
• Referans11. Silva AB, Muntz HR, Clary R. Utility of conventional radiography in the diagnosis and management of pediatric airway foreign bodies. Annals of Otology, Rhinology & Laryngology. 1998;107(10):834-8.
• Referans12. Dikensoy O, Usalan C, Filiz A. Foreign body aspiration: clinical utility of flexible bronchoscopy. Postgraduate medical journal. 2002;78(921):399-403.
• Referans13. Barros CEd, Almeida JAd, Ayres GHdS, Oliveira CGd, Braga CAdSB, Avelino MAG. Pediatric tracheostomy: epidemiology and characterization of tracheal secretion-a literature review. Revista da Associação Médica Brasileira. 2020;65:1502-7.
• Referans14. Avelino MA, Maunsell R, Valera FCP, Lubianca JF, Schweiger C, Miura CS, et al. First Clinical Consensus and National Recommendations on Tracheostomized Children of the Brazilian Academy of Pediatric Otorhinolaryngology (ABOPe) and Brazilian Society of Pediatrics (SBP). Brazilian journal of otorhinolaryngology. 2017;83:498-506.