Difficult airway foreign body removal.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Golla Ramakrishna, Krishna Mohan Gulla, Ketan Kumar, Rashmi Ranjan Das
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引用次数: 0

Abstract

Foreign body (FB) aspiration in children is a common emergency. Traditionally, rigid bronchoscopy has been considered to be the mainstay for removal. However, in certain cases, flexible bronchoscopy can prove to be a better option and avoid thoracic surgery and unnecessary morbidity. Here, we describe the case of a child with accidental aspiration of a 4 cm long sewing needle, lodged in the lateral basal segment of the left lower lobe. Rigid bronchoscopy was unsuccessful as it could not access the distally placed needle. Instead, a flexible bronchoscopy performed through the endotracheal tube after sedating and paralysing the patient was effective and the needle could be grasped and removed using a wire basket. We describe our patient management protocol for paediatric airway FBs, which has been quite effective and prevents procedural delay. Expertise of the operator and a concerted team effort are the recipe for success.

气管异物清除困难。
儿童异物吸入是一种常见的急症。传统上,刚性支气管镜检查被认为是主要的切除方法。然而,在某些情况下,柔性支气管镜检查可以证明是一个更好的选择,避免胸外科手术和不必要的发病率。在这里,我们描述的情况下,一个孩子意外误吸了一个4厘米长的缝纫针,卡在左下叶外侧基底段。刚性支气管镜检查不成功,因为它不能接触到远端放置的针头。相反,在镇静和麻痹患者后,通过气管内管进行柔性支气管镜检查是有效的,针头可以用钢丝篮抓住并取出。我们描述了我们的儿童气道FBs的患者管理方案,这已经相当有效,并防止程序延误。作业人员的专业知识和团队的共同努力是成功的秘诀。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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