@article{Morais_Sousa_Terra_Martins_Pereira_Costa_2020, title={Diagnostic challenges in paediatric foreign body aspiration: a case report}, volume={49}, url={https://www.revcolanest.com.co/index.php/rca/article/view/919}, DOI={10.5554/22562087.e919}, abstractNote={<p><strong>Introduction:</strong> Foreign body aspiration (FBA) is a potentially fatal paediatric emergency. Our objective was to highlight the importance of a multidisciplinary approach to difficult/doubtful diagnosis.</p> <p><strong>Case Report:</strong> 34-month-old girl referred for urgent rigid bronchoscopy after suspected metallic blade ingestion (found chewing on it). She had a previous recurrent history of wheezing. The physical examination revealed face/lip wounds, traces of powder on her teeth but no breathing difficulty. The plain X-Ray revealed radiopaque images of the upper pulmonary field and gastric chamber. In the absence of FBA clinical signs but considering a previous history of bronchial hyperresponsiveness, a direct digital radiographic study was performed. There were no images compatible with foreign bodies: the results were interpreted as artefacts and no bronchoscopy was performed.</p> <p><strong>Conclusions: </strong>A careful pre-anaesthetic evaluation, a high level of suspicion and excellent multidisciplinary communication led to the recognition of false radiologic findings. A conservative approach was followed and invasive procedures in a remote location, with high anaesthetic risk for the paediatric population were avoided.</p>}, number={2}, journal={Colombian Journal of Anesthesiology}, author={Morais, Inês and Sousa, Inês and Terra, Carolina and Martins, Ana and Pereira, Tiago and Costa, Vânia}, year={2020}, month={Aug.} }