Hesham Elsharkawy1, Alaa A Abd-Elsayed2, Rami Karroum3. 1. Institute of Anesthesia, Critical Care and Comprehensive Pain Management, Cleveland Clinic, Cleveland, OH. 2. Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI. 3. Pediatric Anesthesiology Department, Akron Children's Hospital, Akron, OH.
Abstract
BACKGROUND: Foreign body aspiration (FBA) is a potentially life-threatening condition in children, and removal of an aspirated bead can be difficult. CASE REPORT: An 11-month-old male infant presented with a history of choking 6 days prior to admission. FBA was suspected, and initial examination revealed a bead occluding the left main bronchus. The surgeon tried to retrieve the foreign body, but the patient developed coughing episodes with desaturation. The patient was intubated and a bronchoscopy was performed with a flexible bronchoscope. A Fogarty catheter was passed through the bronchoscope and then advanced through the bead opening. The distal balloon was inflated, and the bead was removed as the Fogarty catheter was withdrawn. CONCLUSION: We successfully removed an aspirated bead from an infant using the passing-through technique with a Fogarty catheter. Maintaining spontaneous ventilation for as long as possible and good coordination between the anesthesiologist and surgeon are crucial in such cases.
BACKGROUND: Foreign body aspiration (FBA) is a potentially life-threatening condition in children, and removal of an aspirated bead can be difficult. CASE REPORT: An 11-month-old male infant presented with a history of choking 6 days prior to admission. FBA was suspected, and initial examination revealed a bead occluding the left main bronchus. The surgeon tried to retrieve the foreign body, but the patient developed coughing episodes with desaturation. The patient was intubated and a bronchoscopy was performed with a flexible bronchoscope. A Fogarty catheter was passed through the bronchoscope and then advanced through the bead opening. The distal balloon was inflated, and the bead was removed as the Fogarty catheter was withdrawn. CONCLUSION: We successfully removed an aspirated bead from an infant using the passing-through technique with a Fogarty catheter. Maintaining spontaneous ventilation for as long as possible and good coordination between the anesthesiologist and surgeon are crucial in such cases.
Authors: Lina Wang; Li Zhang; Deli Li; Chunyan Li; Yan Wang; Man Gao; Hang Liang; Fanzheng Meng Journal: Medicine (Baltimore) Date: 2018-09 Impact factor: 1.817