A new protocol developed at the Department of Pediatrics at the Saban Center in Soroka helps the medical staff accurately diagnose suspected foreign body inhalation. The protocol, already implemented at the hospital, The percentage of foreign body identification.
The protocol was developed by Dr. Inbal Golan Tripto, an expert in pediatric pulmonary medicine from the Department of Pediatrics B at the Saban Center in Soroka. Award for Outstanding Research Work at the Israel Society of Clinical Pediatrics conference for two consecutive years. The first time (in 2020) as a future research grant and the second time (in 2021) after the results were received, as an outstanding research work.
Because a non-metallic foreign body cannot be seen on a chest X-ray, an invasive diagnostic procedure, called a bronchoscopy, is sometimes necessary. Dr. Golan Tripto: “In the last year and a half, we have developed and introduced into the work routine a uniform protocol that determines how to act in case there is a suspicion of inhaling a foreign body into the lungs among children. The protocol reduces the need for a bronchoscopy, an invasive procedure performed under general anesthesia in which a camera is inserted into the child’s trachea. ”
Since they began implementing the protocol in Soroka, more than 100 children have been tested using this method. In light of the success of the protocol, it will be put to use in additional emergency rooms around the country. It is now possible to differentiate with an efficiency of about 90% in the presence or absence of a foreign body in the airways of children. As a result, the amount of bronchoscopies performed in 2020 decreased significantly and the diagnostic efficiency increased.
According to data from the organization “Before”, in the years 2016-2020 1,087 children were injured by inhaling a foreign body, the vast majority (63%) aged 0-4, while most cases of injuries from inhaling a foreign body occurred in the home environment (78%). “The unique method of work we have developed saves anesthesia and invasive intervention, costly hospitalization time, a large workforce and significantly reduces anxiety among parents and children,” concludes Dr. Pozilov.