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Airway obstruction by a child's pacifier – could flange design be safer?

Authors
  • Simkiss, D. E.1
  • Sheppard, I.2
  • Pal, B. R.1
  • 1 Department of Paediatrics, City Hospital, Dudley Road, Birmingham B18 7QH, UK Fax: 0121-507 5587, GB
  • 2 Department of Otolaryngology, Gloucestershire Royal Hospital, Great Western Road, Gloucester, UK, GB
Type
Published Article
Journal
European Journal of Pediatrics
Publisher
Springer-Verlag
Publication Date
Feb 01, 1998
Volume
157
Issue
3
Pages
252–254
Identifiers
DOI: 10.1007/s004310050806
Source
Springer Nature
Keywords
License
Yellow

Abstract

The use of pacifiers (dummies or soothers) for infants is prevalent. Rare episodes of an adverse consequence must be taken seriously. We report a case of aspiration of a pacifier by a 6-month-old baby. Nine similar cases were found in the literature since 1966. The details of these cases are outlined and changes to flange design proposed ahead of a new European Union Standard document. Conclusion Pacifier ventilation holes are essential, flanges should have a minimum horizontal and vertical diameter of 43 mm. Rings should be attached to the flange to facilitate removal if aspirated.

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