Document Detail


Tracheobronchial foreign bodies in adults.
MedLine Citation:
PMID:  2327678     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To define the clinical spectrum of tracheobronchial foreign body aspiration in adults, assess predisposing conditions, evaluate the efficacy of bronchoscopy, and determine outcome and complications. DESIGN: Retrospective analysis of a consecutive clinical series. SETTING: A tertiary care, referral-based medical center. PATIENTS: Sixty consecutive adult patients (over 16 years of age) evaluated for tracheobronchial foreign body aspiration. INTERVENTIONS: All 60 patients had bronchoscopic evaluation; 59 of them had foreign bodies identified and removal was attempted using either rigid or flexible fiberoptic bronchoscopy. MAIN RESULTS: Of 60 consecutive patients, 25 had underlying impairment of protective airway mechanisms (primary neurologic disorders, trauma with loss of consciousness, or sedative or alcohol use). Fifty-seven were successfully managed with bronchoscopy. Fiberoptic bronchoscopy was successful in 14 of 23 patients, and rigid bronchoscopy was successful in 43 of 44 patients, including 6 of 7 patients in whom previous fiberoptic bronchoscopy had failed. Thoracotomy was required in 3 patients. Complications of bronchoscopy were rare and not serious. Chronic complications of prolonged foreign body impaction included bronchiectasis in 3 patients. CONCLUSIONS: Although rare, tracheobronchial foreign body aspiration in adults can occur in various clinical settings. High clinical suspicion is necessary for diagnosis. Removal of foreign bodies can usually be accomplished with bronchoscopy.
Authors:
A H Limper; U B Prakash
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of internal medicine     Volume:  112     ISSN:  0003-4819     ISO Abbreviation:  Ann. Intern. Med.     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-05-23     Completed Date:  1990-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372351     Medline TA:  Ann Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  604-9     Citation Subset:  AIM; IM    
Affiliation:
Mayo Clinic, Rochester, Minnesota.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Bronchi*
Bronchography
Bronchoscopy
Female
Foreign Bodies* / complications,  radiography,  therapy
Humans
Male
Middle Aged
Trachea* / radiography
Comments/Corrections
Comment In:
Ann Intern Med. 1990 Sep 15;113(6):482-3   [PMID:  2386343 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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