Continuous negative airway pressure “CNAP”: Novel nasal foreign body removal
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20174341Keywords:
Nasal, Foreign body, CPAP, Infant, Removal, ChildAbstract
We report on a novel and innovative method used to extricate nasal foreign bodies in infants and young children– a common presentation in pediatric emergency care that can at times have potentially serious consequences. In the case of a three-year-old girl, ‘continuous negative airway pressure (CNAP)’ using a continuous positive airway pressure (CPAP) mask and a domestic vacuum cleaner, a nasal foreign body was removed quickly and effectively in a simple and painless procedure. While more cases are needed to confirm safety and efficacy, the principles underlying this technique could have great potential for future clinical use due to its simplicity and accessibility, particularly when compared to other techniques currently used in the home and in the emergency department.
References
Taylor C, Acheson J, Coats TJ. Nasal foreign bodies in children: kissing it better. Emerg Med J. 2010;27(9):712-3.
Kiger JR, Brenkert TE, Losek JD. Nasal foreign body removal in children. Pediatr Emerg Care. 2008;24(11):785-92.
Chan TC, Ufberg J, Harrigan RA, Vilke GM. Nasal foreign body removal. J Emerg Med. 2004;26(4):441-5.
Foltran F, Ballali S, Passali FM, Kern E, Morra B, Passali GC, et al. Foreign bodies in the airways: A meta-analysis of published papers. Int J Pediatr Otorhinolaryngol. 2012; 76(1):12-9.
Alleemudder D, Sonsale A, Ali S. Positive pressure technique for removal of nasal foreign bodies. Int J Pediatr Otorhinolaryngol. 2007;71(11):1809-11.
Cook S, Burton M, Glasziou P. Efficacy and safety of the “mother’s kiss” technique: a systematic review of case reports and case series. CMAJ. 2012;184(17):904-12.
Craig SS, Cheek JA, Seith RW, West A. Removal of ENT foreign bodies in children. Emerg Med Australas. 2015;27(2):145-7.
Sullivan CE, Issa FG, Berthon-Jones M, Eves L. Reversal Of Obstructive Sleep Apnoea By Continuous Positive Airway Pressure Applied Through The Nares. Lancet. 1981;317(8225):862-5.
