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Indian Journal of Anesthesia and Analgesia

Volume  5, Issue 1, January 2018, Pages 139-142
 

Case Report

Foreign Body Bronchus Removed by Tracheotomy

Amarjeet D. Patil1, Ramlaa Al Qassab2

1Ex-Specialist Registrar, Anaesthesia and Critical Care, Royal Hospital, Muscat, PO BOX 1331, Oman. Specialist Registrar, Central Manchester University NHS Foundation Trust, Manchester, UK. 2Senior Consultant, Head of Department, Anaesthesia and Critical Care, Royal Hospital, Muscat, PO BOX -1331, Oman.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5118.21

Abstract

A 3 year old male child, with 13 kg body weight, referred from a peripheral hospital with suspected foreign body (FB) bronchus. Chest radiograph from that hospital showed absentairo-gram below right bronchus and hyper-inflated left lung, but foreign body could not be seen. Rigid bronchoscopy was performed in emergency theatre under general anaesthesia, with resistance in passing the scopethrough the glottis. The foreign body was difficult to remove after multiple attempts and finally it was removed by the tracheotomy as a life-saving procedure followed by tracheostomy. This patient required an unplanned ICU admission for one day and later shifted to high dependency and then to the ward and he is doing well.


Keywords : Airway Foreign Bodies; Bronchoscopy; Tracheotomy; Tracheostomy; Unplanned ICU Admission. 
Corresponding Author : Amarjeet D. Patil, Ex-Specialist Registrar, Anaesthesia and Critical Care, Royal Hospital, Muscat, PO BOX 1331, Oman. Specialist Registrar, Central Manchester University NHS Foundation Trust, Manchester, UK.