Clinical guideline for retained button batteries

Arch Dis Child. 2021 Feb;106(2):192-194. doi: 10.1136/archdischild-2019-318354. Epub 2020 Feb 10.


Objective: To design a clinical guideline for the emergency management of retained button batteries (RBBs) through analysis of UK National Health Service hospital guidelines and published literature.

Method: 49 acute hospitals were contacted, and their guidelines were analysed. A consensus guideline was then created with multidisciplinary input. The final guideline was independently peer reviewed by the British Association of Otorhinolaryngology and Head and Neck Surgery (ENT UK) clinical guidelines committee.

Results: 40 (82%) trusts responded. 28 had a guideline for the management of a RBB in the aerodigestive tract. Significant variation between guidelines assessment, investigation and management of a RBB was identified.

Conclusion: A single-page guideline was designed to improve frontline healthcare professional's immediate investigation and management of a RBB on presentation to emergency care. This has been published by ENT UK as a clinical guideline.

Keywords: ENT; accident & Emergency; general paediatrics.

Publication types

  • Consensus Development Conference
  • Practice Guideline

MeSH terms

  • Child, Preschool
  • Emergency Treatment / standards*
  • Foreign Bodies / surgery*
  • Humans
  • Infant
  • Infant, Newborn
  • Otolaryngology
  • Pediatric Emergency Medicine / standards*
  • Practice Guidelines as Topic
  • State Medicine
  • United Kingdom