Basic mechanism of button battery ingestion injuries and novel mitigation strategies after diagnosis and removal

@article{Jatana2017BasicMO,
  title={Basic mechanism of button battery ingestion injuries and novel mitigation strategies after diagnosis and removal},
  author={Kris R. Jatana and Keith Rhoades and Scott M. Milkovich and Ian N Jacobs},
  journal={The Laryngoscope},
  year={2017},
  volume={127}
}
Button battery (BB) injuries continue to be a significant source of morbidity and mortality, and there is a need to confirm the mechanism of injury for development of additional mitigation strategies. 

Injury Mechanism of Button Batteries in the Nasal Cavity and Possible Mitigation Strategies During Impaction

Button batteries (BBs) impacted in the nasal cavity can cause several complications. Understanding the injury mechanism and developing possible mitigation strategies can reduce these complications.

Anesthetic Implications of Button Battery Ingestion in Children

TLDR
Button battery ingestion in children has been associated with significant morbidity and mortality and the underlying urgent need for battery removal is reviewed.

Mitigating Risks of Swallowed Button Batteries: New Strategies Before and After Removal.

TLDR
Gastroenterologists need to be aware of the updates to the National Capital Poison Center algorithm for button battery ingestion and initiation of sucralfate or honey shortly after some button battery ingestions is crucial to prevent further injury while awaiting emergent removal.

Initial clinical application of tissue pH neutralization after esophageal button battery removal in children

TLDR
Initial safety data for the human application of intraoperative tissue pH neutralization using 0.25% acetic acid irrigation after BB removal is presented.

Management of oesophageal impaction of button batteries in Queensland

TLDR
The aim of this study was to characterize circumstances of OBBI and identify potential barriers to timely removal of button batteries (BB) in the paediatric population.

Button battery taping prevents oesophageal injury

TLDR
The aim was to determine if tape could prevent oesophageal injury in a cadaveric porcine model and whether this practice prevents injury.

Management and Outcomes of Button Batteries in the Aerodigestive Tract: A Multi‐institutional Study

TLDR
The clinical presentation, management, and complications associated with button battery impaction in the aerodigestive tract in children in children are described.

Current management of button battery injuries

TLDR
Button batteries (BB) are found in common household items and can lead to significant morbidity and mortality in the pediatric population when ingested, and a safer BB technology is critically needed to reduce or eliminate the severe and life‐threatening injuries in children.

Disc battery ingestion in paediatric age

TLDR
Clinical data of children referred for disc battery ingestion are analyzed in order to assess short‐ and long‐term reported injuries and to identify outcome predictors and trends, define the urgency of intervention and refine treatment guidelines.
...

References

SHOWING 1-10 OF 12 REFERENCES

Pediatric button battery injuries: 2013 task force update.

Preventing Battery Ingestions: An Analysis of 8648 Cases

TLDR
Because 61.8% of batteries that were ingested by children were obtained from products, manufacturers should redesign household products to secure the battery compartment, possibly requiring a tool to open it.

Emerging Battery-Ingestion Hazard: Clinical Implications

TLDR
Revised treatment guidelines promote expedited removal from the esophagus, increase vigilance for delayed complications, and identify patients who require urgent radiographs.

The treatment of alkaline burns of the skin by neutralization.

TLDR
The authors proposed that topical treatment of alkaline burns with a weak acid such as 5% acetic acid (i.e., household vinegar) would result in rapid tissue neutralization and reduction of injury in comparison to water irrigation alone and observed benefits that are significant and require clinical testing.

Thermal effects of neutralization therapy and water dilution for acute alkali exposure in canines.

OBJECTIVE To evaluate the change in temperature of the gastric mucosa and lumen contents when a weak acid or water is used to manage acute alkali exposure. METHODS A prospective in-vivo canine

Caustic ingestions: a rational look at diluents.

Treatment of lye ingestions by antidotes recommended on product labels includes the use of acid neutralizers. The possibility that heat produced by this exothermic reaction increased tissue damage

Liquid caustic ingestions: an in vitro study of the effects of buffer, neutralization, and dilution.

HYDROTHERAPY OF CHEMICAL BURNS

Effects of Neutralizing Agents on Esophageal Burns Caused by Disc Batteries

TLDR
The focus of the current investigation is on whether medical therapy can arrest or lessen the severity of the injury during the time required to transport the patient to a center for treatment.