SHARP METALLIC FOREIGN BODY IN BRONCHUS: ANAESTHETIC CONSIDERATIONS AND MANAGEMENT OPTIONS IN CHILDREN.

Dr. Jatin Lal; Dr. Manu Smriti

Volume : V, Issue : XI, November - 2015

SHARP METALLIC FOREIGN BODY IN BRONCHUS: ANAESTHETIC CONSIDERATIONS AND MANAGEMENT OPTIONS IN CHILDREN.

Dr. Jatin Lal, Dr. Manu Smriti

Abstract :

 Foreign body (FB) aspiration is the principal cause of accidental death among children younger than 3 years. The objects most frequently aspirated are food products. Metallic FB aspiration is rare and accounts for only 4.4% of all foreign bodies found in tracheoonchial tree. Suggestive history is important in diagnosis as symptoms and radiological studies have relatively low sensitivity and specificity. The gold standard for diagnosis and management is rigid onchoscopy under general anaesthesia. The choice of inhaled or intravenous induction and maintenance, spontaneous or controlled ventilation and use of neuromuscular blockers must be tailored to the specific circumstances. Shared management of potentially obstructed airway demands close communication between anaesthesiologist and surgeon for successful management of this problem. We hereby report a case of aspiration of unusual sharp metallic foreign body, a pencil sharpner balde, in a 5 years old male child. The blade was removed by rigid ventilating onchoscope under general anaesthesia