Management of tracheobronchial foreign bodies-experience of cardiothoracic department of cardiology institute

Dixit, Sunil; Agarwal, Rajat; Kumar, Neeraj; Verma, Rakesh; Krishna, Vinay; Sahni, Jeevan Lal

doi:10.1007/s12055-010-0071-3

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…The earliest report of airway foreign body removal was performed via bronchotomy by Louis in 1759 [ 13 ]. The first endoscopic removal of a foreign body occurred in 1897 [ 14 ] and since then bronchoscopy has remained the gold standard for evaluation of patients with high clinical suspicion for foreign body aspiration.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration of a Dental Bridge in the Left Main Stem Bronchus

Mahmoud

Imam

Patel

et al. 2012

Case Reports in Medicine

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Aspiration of tracheobronchial foreign bodies is a life-threatening event that occurs mainly in children. Occurrence in adults is rare and usually has a subtle presentation as most adults are unaware of aspiration of any foreign material. Decreased levels of consciousness, sedation, and neuromuscular diseases are major risk factors for foreign body aspiration in adults. Prompt diagnosis and intervention through foreign body retrieval are critical to prevent significant morbidity and mortality. Retrieval procedure is risky, and sudden decompensation of the patient can occur anytime. We are presenting an adult who accidentally aspirated his dental prosthesis during sleep and underwent successful retrieval of the dental bridge using flexible bronchoscopy.

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Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration of a Dental Bridge in the Left Main Stem Bronchus

Mahmoud

Imam

Patel

et al. 2012

Case Reports in Medicine

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“…Rigid bronchoscopy for removal of Foreign body is still the gold standard, even though flexible bronchoscopy has become more famous [4] . Rarely, thoracotomy is indicated for impacted foreign body which is not retrievable by bronchoscopy [5] as was the case in our patient who worsened during bronchoscopy and needed thoracotomy for retrieval. In this patient, Radiological imaging was useful in diagnosis as well as pointing the location of metallic foreign body.…”

Section: Discussionmentioning

confidence: 63%

“…Flexible bronchoscope is gaining popularity for removal of aspirated foreign body localised in airways [4] . Rarely, thoracotomy is indicated for impacted foreign body not retrievable by bronchoscopy [5] .…”

Section: Introductionmentioning

confidence: 99%

Case report: Anaesthesia for thoracotomy in a child with foreign body in left main bronchus

Chodankar¹,

Kharwadkar²

2020

Int. J. Med. Anesthesiology

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We describe a case report of a 5-year old girl who presented with foreign body impacted in left bronchus. A sharp foreign body had pierced the wall of left main bronchus making removal by bronchoscopy difficult, and a previous attempt at bronchoscopy had led to clinical deterioration of patient, requiring resuscitation and mechanical ventilation. Patient was subsequently extubated when condition improved. Anaesthesia for thoracotomy was induced with Fentanyl, Propofol, Atracurium and maintained with Sevoflurane with Oxygen/Air. One lung ventilation was achieved with right endobronchial intubation. Epidural analgesia was used postoperatively. Recovery was uneventful. Thoracotomy with One Lung Ventilation in a paediatric patient require suitable anaesthesia techniques along with good postoperative pain relief leading to early recovery.

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“…From that date until today, different thoracotomy incidences in the removal of the tracheobronchial foreign bodies especially settled in the distal bronchia have been reported in many series. These incidences of the thoracotomy in tracheobronchial foreign body aspiration are between 1.6%-6% (19)(20)(21)(22). Thin foreign bodies as headscarf pins tend to settle in the distal airways at the time of aspiration (3).…”

Section: Discussionmentioning

confidence: 99%

Tracheobronchial Foreign Bodies Aspirations in Adults: A 25-Years Experience

2016

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than 16 years with suspected tracheobronchial aspiration of foreign body were included in this study. Patients' data cards were retrospectively assessed according to age, gender, clinical symptoms and physical examination findings, localization and type of foreign body, radiologic findings and therapeutic options. Results: Ninety-six of the patients were female (78.7%) and 26 were male (21.3%). The age range was 17-70 years and mean age was 30.3 years. Rigid bronchoscopy was performed in all patients. Foreign bodies were seen in 112 patients (91.8%). Foreign bodies were extracted by rigid bronchoscopy in 109 patients. Thoracotomy and pneumotomy were performed in the remaining 3 patients. The most common foreign body was pin (83%). The chief symptom was cough (100%). The most common anatomic location of foreign bodies was right bronchial system (60.7%). The main radiologic finding was radiopaque image of the related foreign body (88.4%). Right lower lobectomy was performed in two patients because of bronchiectasis. Conclusion: If tracheobronchial aspirations of foreign bodies are not treated in early period, irreversible and suppurative lung diseases may occur as results of aspirations in later years. The education of societies about this subject is principal precaution in reducing the frequency of tracheobronchial aspirations of foreign bodies.

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Management of tracheobronchial foreign bodies-experience of cardiothoracic department of cardiology institute

Abstract: Background We report our experience of 3 years in the management of tracheobronchial foreign bodies in our department of cardiothoracic surgery. Materials and methods This is a retrospective study of confirmed tracheobronchial Foreign Body (FB) between

Cited by 4 publications

References 7 publications

Foreign Body Aspiration of a Dental Bridge in the Left Main Stem Bronchus

Foreign Body Aspiration of a Dental Bridge in the Left Main Stem Bronchus

Case report: Anaesthesia for thoracotomy in a child with foreign body in left main bronchus

Tracheobronchial Foreign Bodies Aspirations in Adults: A 25-Years Experience

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