StayCurrentMD · Update Course Rewind: CT Evaluation of Suspected Airway Foreign Body 2022
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Video·Published May 2023Older

Update Course Rewind: CT Evaluation of Suspected Airway Foreign Body 2022

With Dr. Chuck Snyder
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What the experts said10 expert statements · 5 host summaries
More often than not, in cases with suspicious story of aspiration, it's reactive airway and not a foreign body
ClinicalChuck Snyder
Instrumenting the airway of kids that already have a reactive airway when there is no foreign body makes no sense
OpinionChuck Snyder
The institution was having a lot of negative bronchoscopies because of high concern about missing foreign bodies
ClinicalChuck Snyder
CT scan will direct management regarding whether the patient needs to go to the operating room or not
ClinicalChuck Snyder
False positives on CT for airway foreign body were very unusual, approximately 6%
ClinicalChuck Snyder
False negatives can only be determined by whether something happened to the patient afterwards
ClinicalChuck Snyder
Of all patients with negative CT who were called for follow-up, not a single one had any problems after discharge from the emergency room
ClinicalChuck Snyder
CT for airway foreign body is incredibly surprisingly accurate
OpinionChuck Snyder
Foreign bodies do not need to be radiopaque to be detected on CT
ClinicalChuck Snyder
CT can detect plastic foreign bodies and other non-radiopaque materials
ClinicalChuck Snyder
In the study by Dr. Ponsky, cohort one went straight to bronchoscopy, while cohort two underwent CT scan first
Host summaryThe host summarizes what Dr. Chuck Snyder said · not cited in answers
In the CT-first cohort, if the CT scan was negative, the child was sent home; if positive, the child went to the operating room
Host summaryThe host summarizes what Dr. Chuck Snyder said · not cited in answers
In patients who went to the operating room based on positive CT, 94% of the time they actually found a foreign body
Host summaryThe host summarizes what Dr. Chuck Snyder said · not cited in answers
The CT scan for airway foreign body has very low radiation exposure
Host summaryThe host summarizes what Dr. Chuck Snyder said · not cited in answers
CT eliminates unnecessary instrumentation of the airway in equivocal patients with reactive airway disease
Host summaryThe host summarizes what Dr. Chuck Snyder said · not cited in answers