Button Battery Ingestion in Children: An Educational Review for Perioperative Nursing.

J Perianesth Nurs

Duke Children's Hospital & Health Center, Duke University, Durham, NC.

Published: June 2024

AI Article Synopsis

  • Button battery ingestion is especially dangerous for children under 6, leading to severe complications like esophageal perforation.
  • Timely removal of the battery is crucial, ideally within 2 hours, but many cases go unnoticed due to vague symptoms.
  • If a child over 12 months ingests a button battery and it's within 12 hours, giving them honey may help, but it shouldn't be given if there's a chance of perforation; swift medical intervention is essential regardless of recent eating.

Article Abstract

Button battery ingestion is potentially fatal, especially in children less than 6 years of age, most commonly due to esophageal perforation. The number of ingestions and complications has risen significantly in recent decades. Impacted button batteries should ideally be removed urgently within 2 hours of ingestion. However, many ingestions go unwitnessed, and children may present with variable, vague symptoms. The recommendation now is that children over the age 12 months consume honey when a button battery ingestion is witnessed or diagnosed, if less than 12 hours have elapsed. Importantly, though, honey should not be consumed if perforation is suspected. Induction of general anesthesia and battery removal should not be delayed to satisfy NPO guidelines, even if the child has eaten.

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Source
http://dx.doi.org/10.1016/j.jopan.2024.02.012DOI Listing

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