Foreign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challenge
Foreign body aspiration into the airway is common in the pediatric age group and its anesthetic management is a challenge. Iatrogenic tracheo-bronchial injury further worsens the situation. Flexible pediatric fiberscope is the gold standard for securing the airway in cases of airway injury. We prese...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=4;spage=534;epage=536;aulast=Lahori |
| _version_ | 1819228975332851712 |
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| author | Vikram Uday Lahori Shipra Aggarwal Pemala Simick Sudhindra Dharmavaram |
| author_facet | Vikram Uday Lahori Shipra Aggarwal Pemala Simick Sudhindra Dharmavaram |
| author_sort | Vikram Uday Lahori |
| collection | DOAJ |
| description | Foreign body aspiration into the airway is common in the pediatric age group and its anesthetic management is a challenge. Iatrogenic tracheo-bronchial injury further worsens the situation. Flexible pediatric fiberscope is the gold standard for securing the airway in cases of airway injury. We present a case of a 7-year-old girl who presented to the hospital with signs and symptoms of foreign body aspiration and suspected tracheo-bronchial tree injury. The impacted foreign body was removed by rigid bronchoscopy and the presence of a tracheo-bronchial tear was confirmed. To repair the airway tear, thoracotomy was planned necessitating one lung ventilation. A pediatric flexible fiberscope was not available, so left endobronchial intubation for one lung ventilation was done with the help of an airway exchange catheter using a rigid bronchoscope as a conduit. Subsequent intra-operative and post-operative period were uneventful. |
| first_indexed | 2024-12-23T11:05:49Z |
| format | Article |
| id | doaj.art-56334b2810af4a858b7f54b67d7636ab |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-23T11:05:49Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-56334b2810af4a858b7f54b67d7636ab2022-12-21T17:49:30ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852011-01-0127453453610.4103/0970-9185.86602Foreign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challengeVikram Uday LahoriShipra AggarwalPemala SimickSudhindra DharmavaramForeign body aspiration into the airway is common in the pediatric age group and its anesthetic management is a challenge. Iatrogenic tracheo-bronchial injury further worsens the situation. Flexible pediatric fiberscope is the gold standard for securing the airway in cases of airway injury. We present a case of a 7-year-old girl who presented to the hospital with signs and symptoms of foreign body aspiration and suspected tracheo-bronchial tree injury. The impacted foreign body was removed by rigid bronchoscopy and the presence of a tracheo-bronchial tear was confirmed. To repair the airway tear, thoracotomy was planned necessitating one lung ventilation. A pediatric flexible fiberscope was not available, so left endobronchial intubation for one lung ventilation was done with the help of an airway exchange catheter using a rigid bronchoscope as a conduit. Subsequent intra-operative and post-operative period were uneventful.http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=4;spage=534;epage=536;aulast=LahoriForeign bodyone lung ventilationpediatric fiberscope |
| spellingShingle | Vikram Uday Lahori Shipra Aggarwal Pemala Simick Sudhindra Dharmavaram Foreign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challenge Journal of Anaesthesiology Clinical Pharmacology Foreign body one lung ventilation pediatric fiberscope |
| title | Foreign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challenge |
| title_full | Foreign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challenge |
| title_fullStr | Foreign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challenge |
| title_full_unstemmed | Foreign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challenge |
| title_short | Foreign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challenge |
| title_sort | foreign body removal with repair of iatrogenic tracheo bronchial tear repair an anesthetic challenge |
| topic | Foreign body one lung ventilation pediatric fiberscope |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=4;spage=534;epage=536;aulast=Lahori |
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