|Abstract:||Introduction and description of the problem: Treatment of patients with foreign bodies in the respiratory system, is a stressful situation, since a rapid action is required from the operating teams, involved in a patient management. Foreign bodies are removed under general anaesthesia with a bronchoscopy or with a rigid bronchoscope, which is a technique for an endoscopic inspection of the trachea and for proximal parts of the bronchi and removing foreign bodies from the respiratory tract.
Methodology: In a retrospective cross-sectional, study we have examined a database of hospital information system MEDIS UKC Maribor, the ten-year period, from 2005 to 2015. The research sample included patients with inclusion criteria diagnoses from the International Classification of Diseases and Related Health Problems (ICD-10). Later on, we were searching in the codebook Classifications therapeutic and diagnostic procedures (KTDP) and the work done by the codes interference. Then we had the master's work with imagery to describe the process of rigid bronchoscopy. In the last section we had a simulator to show the possibility of artificial ventilation through the rigid bronchoscope.
Results: In the ten year period, the Department of ENT and MFK dealt with 38 cases of a suspected foreign body in the respiratory system. In 24 cases pediatric patients patients were involved. The youngest was one year old, the oldest fourteen years old. The object that was most often in the respiratory system was a peanuts. The most common location of the entrapment of the foreigner is in the right main bronchus and in the 19 cases. The most common referral diagnosis of patients, referred for ENT and MFK department, is suspected foreign body. Just as in children’s cases, where the reasons for the aspiration of foreign material are environmental research while laughing and, speaking during feeding, the adult’s cases are accompanied by basic cause of disease. Eight of fourteen adult’s patients were hospitalized with the concomitant illness.
Conclusion: Most foreign bodies were seen in children aged between one and three years. Just as in children’s case, where the reason for aspiration of foreign bodies, are environmental research, running, laughing and talking despite the feeding, the adult’s cases are accompanied by the cause underlying disease. Mainly, a foreign object was jammed in the right main bronchi. In children’s cases a peanut was the most common foreign body, while for adults this was an apple.|