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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 3, April 2014 pp 470-471

Case Report

Removal of Large Foreign Body in the Bronchus by an Unusual Method

 

S. J. Kulkarni1, V. P. Kelkar2, P. P. Nayak3, P. V. Bhale4

{1Professor and HOD, 2Associate Professor, 3,4Professor}

Deparmtment of Anaesthesia, Mahatma Gandhi Mission’s Medical College and Hospital, N – 6, CIDCO, Aurangabad, Maharashtra, INDIA.


Academic Editor : Dr. Aher K.R.

Abstract

 

Anaesthesia for bronchoscopy is challenging in paediatric patients as the airways are narrower and desaturation is faster compared to adults. Life threatening intra operative complications may lead to significant morbidity. Organic foreign bodies that are small enough to pass below the level of cricoid cartilage expand due to their hygroscopic nature sufficiently to make their exit through vocal cords impossible. In these circumstances a tracheostomy is needed for removal of F.B. without causing much airway trauma. Cooperation and communication between the surgeon and the anaesthetist is the key to safe and successful outcome in such situation.