First-aid Fast Track Channel in Rescuing Critically Ill Children With Airway Foreign Body: Our Clinical Experience

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Abstract

Objective: To explore the role of First-aid Fast Track channel in rescuing children with airway foreign body, and to analyze and summarize the experience and lessons of First-aid Fast Track channel in rescuing airway foreign body in critical condition. Methods Clinical data of 21 cases of First-aid Fast Track channel rescue admitted to our hospital from January 2017 to December 2020were retrospectively collected, including 12 males and 9 females, aged 9-18 months, with an average age of 15 months and a history of 1-72 hours. Follow-up medical history showed that all 21 children had a history of significant foreign body cough. Results 21 cases of airway foreign body were successfully removed without second operation. Twenty-one critically ill children were intubated into PICU after surgery. Two of the children had a history of asphyxia rescue in a foreign hospital. After endotracheal intubation and cardiopulmonary resuscitation, the ambulance was sent to our hospital. Although the foreign body was removed, the patient's family gave up the treatment because the brain hypoxia lasted too long and the deep coma could not be recovered. Conclusion First-aid Fast Track channel of airway foreign body is the cooperation of otolaryngology, anesthesiology, ICU, emergency room and other departments, which has won valuable time for rescue, highlighted the purpose of rescue, improved the success rate of rescue and the quality of life of children, and is of great value for the treatment of critical tracheal foreign body.
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First-aid Fast Track Channel in Rescuing Critically Ill Children With Airway Foreign Body: Our Clinical Experience | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article First-aid Fast Track Channel in Rescuing Critically Ill Children With Airway Foreign Body: Our Clinical Experience Yong-chao Chen, Zhi-xiong Xian, Sai-hong Han, Lan Li, Yi-shu Teng This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-153274/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 21 Jul, 2021 Read the published version in BMC Emergency Medicine → Version 1 posted 8 You are reading this latest preprint version Abstract Objective To explore the role of First-aid Fast Track channel in rescuing children with airway foreign body, and to analyze and summarize the experience and lessons of First-aid Fast Track channel in rescuing airway foreign body in critical condition. Methods Clinical data of 21 cases of First-aid Fast Track channel rescue admitted to our hospital from January 2017 to December 2020were retrospectively collected, including 12 males and 9 females, aged 9-18 months, with an average age of 15 months and a history of 1-72 hours. Follow-up medical history showed that all 21 children had a history of significant foreign body cough. Results 21 cases of airway foreign body were successfully removed without second operation. Twenty-one critically ill children were intubated into PICU after surgery. Two of the children had a history of asphyxia rescue in a foreign hospital. After endotracheal intubation and cardiopulmonary resuscitation, the ambulance was sent to our hospital. Although the foreign body was removed, the patient's family gave up the treatment because the brain hypoxia lasted too long and the deep coma could not be recovered. Conclusion First-aid Fast Track channel of airway foreign body is the cooperation of otolaryngology, anesthesiology, ICU, emergency room and other departments, which has won valuable time for rescue, highlighted the purpose of rescue, improved the success rate of rescue and the quality of life of children, and is of great value for the treatment of critical tracheal foreign body. Critical Care & Emergency Medicine First-aid Fast Track channel Foreign Bodies Trachea Child Figures Figure 1 Figure 2 Figure 3 Figure 4 Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 21 Jul, 2021 Read the published version in BMC Emergency Medicine → Version 1 posted Editorial decision: Major revision 17 May, 2021 Reviews received at journal 19 Feb, 2021 Reviewers agreed at journal 19 Feb, 2021 Reviewers invited by journal 02 Feb, 2021 Editor assigned by journal 31 Jan, 2021 Editor invited by journal 29 Jan, 2021 Submission checks completed at journal 29 Jan, 2021 First submitted to journal 22 Jan, 2021 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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