More often than not, it's reactive airway and it's not a foreign body. So you're instrumenting the airway of kids that already have a reactive airway. It made no sense.
Update Course Rewind: CT Evaluation of Suspected Airway Foreign Body 2022
▶Ep 2 · 1:42
opinionInstrumenting the airway of kids that already have a reactive airway when there is no foreign body makes no sense↗
▶Ep 2 · 1:42
clinicalMore often than not, in cases with suspicious story of aspiration, it's reactive airway and not a foreign body↗
▶Ep 2 · 1:42
clinicalThe institution was having a lot of negative bronchoscopies because of high concern about missing foreign bodies↗
▶Ep 2 · 1:42
quoteCT scan will direct your management. That is if you need to go to the operating room or not.↗
▶Ep 2 · 1:42
quoteMore often than not, it's reactive airway and it's not a foreign body. So you're instrumenting the airway of kids that already have a reactive airway. It made no sense.↗
▶Ep 2 · 1:42
clinicalCT scan will direct management regarding whether the patient needs to go to the operating room or not↗
▶Ep 2 · 2:59
quoteIt's incredibly surprisingly accurate and they do not need to be radio opaque.↗
▶Ep 2 · 2:59
clinicalFalse negatives can only be determined by whether something happened to the patient afterwards↗
▶Ep 2 · 2:59
clinicalOf all patients with negative CT who were called for follow-up, not a single one had any problems after discharge from the emergency room↗
▶Ep 2 · 2:59
opinionCT for airway foreign body is incredibly surprisingly accurate↗
▶Ep 2 · 2:59
clinicalForeign bodies do not need to be radiopaque to be detected on CT↗
▶Ep 2 · 2:59
clinicalCT can detect plastic foreign bodies and other non-radiopaque materials↗
▶Ep 2 · 2:59
quoteThe only way to know if it's a false negative is did something happen to them afterwards? You would never know, right?↗
▶Ep 2 · 2:59
clinicalFalse positives on CT for airway foreign body were very unusual, approximately 6%↗
Chuck's statements about Congenital Lung Lesions (CPAM)6 statements
