Vagal reflex stimulation complicating retrieval of an unusual foreign body from the laryngotracheal lumen: Case report

Abstract

Foreign body impaction in the aero digestive tract is a life-threatening emergency, particularly in the paediatric age group. Removal under general anaesthesia poses both surgical and anaesthetic challenges and this may rarely result in mortality. We report a case of a 4 year old boy with an unusual foreign body (FB) impacted in the laryngotracheal causing difficult intubation and precluding tracheostomy with attendant vasovagal reflex stimulation and cardiac arrest. Clinical presentation and radiological evaluation of the patient were highlighted with a review of pertinent literature. We conclude that dis-impacting a foreign body in the trachea could potentiate bradycardia and cardiac arrest; co-existing hypercarbia and/or sepsis increase the risk and worsen the prognosis.

Management and Outcome of Infantile Hydrocephalus in a Tertiary Health Institution in Nigeria

“…Besides, hospital is usually the last point of call after exhausting their meager resources-seeking alternative healthcare at traditional homes and faith healing homes. [17] In general, congenital hydrocephalus was more common than acquired type, and the majority of patients had communicating hydrocephalus, [ Figure 2]. VPS was the neurosurgical treatment offered in most of the cases 53 (91%), followed by 3 (3.4%) ETV, and 2 (1.7%) VSG, respectively [ Table 2].…”

“…Besides, hospital is usually the last point of call after exhausting their meager resources-seeking alternative healthcare at traditional homes and faith healing homes. [ 17 ]…”