ABSTRACT
OBJECTIVE: This study aimed to suggest a care protocol for foreign-body ingestion, address the clinical aspects, and identify the ingested object, severity, and professional conduct. METHODS: This is a qualitative study. We used books and original articles published in national and international journals (BIREME, SCIELO, LILACS, and MEDLINE/PubMed) in Portuguese, Spanish, and English. RESULTS: The ingestion of a radiolucent object should be evaluated radiographically and with endoscopy for cases with symptoms of impaction and radiolucent objects. Coins are the most commonly involved foreign bodies. In asymptomatic patients, it often requires only a conservative form of management. Ingestion of batteries, magnets, and sharp objects carries a high risk of serious clinical complications and should have an endoscopic or surgical approach. In view of this, each pediatric emergency service, based on these recommendations, has the possibility to develop an individual protocol to identify and remove the ingested foreign body. CONCLUSIONS: Protocol of care for foreign-body ingestion in children depends on the object ingested, time of ingestion, symptoms, and local epidemiological context. This study provides some suggestions for decision-making in the conduct of health professionals.
Subject(s)
Foreign Bodies , Gastrointestinal Diseases , Child , Eating , Endoscopy, Gastrointestinal/methods , Foreign Bodies/complications , Foreign Bodies/diagnostic imaging , Foreign Bodies/therapy , Humans , Qualitative ResearchABSTRACT
SUMMARY OBJECTIVE: This study aimed to suggest a care protocol for foreign-body ingestion, address the clinical aspects, and identify the ingested object, severity, and professional conduct. METHODS: This is a qualitative study. We used books and original articles published in national and international journals (BIREME, SCIELO, LILACS, and MEDLINE/PubMed) in Portuguese, Spanish, and English. RESULTS: The ingestion of a radiolucent object should be evaluated radiographically and with endoscopy for cases with symptoms of impaction and radiolucent objects. Coins are the most commonly involved foreign bodies. In asymptomatic patients, it often requires only a conservative form of management. Ingestion of batteries, magnets, and sharp objects carries a high risk of serious clinical complications and should have an endoscopic or surgical approach. In view of this, each pediatric emergency service, based on these recommendations, has the possibility to develop an individual protocol to identify and remove the ingested foreign body. CONCLUSIONS: Protocol of care for foreign-body ingestion in children depends on the object ingested, time of ingestion, symptoms, and local epidemiological context. This study provides some suggestions for decision-making in the conduct of health professionals.
ABSTRACT
O propósito deste trabalho foi avaliar a remoção de tinta nankin aderida às paredes de canais radiculares com achatamento proximal quando preparados com a técnica rotatória do sistema Protaper e manual com a técnica de Oregon. Vinte e dois incisivos inferiores permanentes unirradiculados foram acessados endodonticamente, esvaziados e preenchidos com tinta nankin vermelha. Um grupo teve os canais instrumentados pelo sistema Protaper e o outro com a técnica de Oregon modificada. Após, foram seccionados longitudinalmente e as hemipartes digitalizadas. A análise da remoção do corante foi feita por meio do Software Sigma Scan. O resultado mostrou não haver diferença estatística entre as técnicas utilizadas.