Successful emergency airway management in a case of removal of foreign body bronchus in a pediatric patient

Foreign body (FB) aspiration into the respiratory tract is a common incident, especially in the pediatric age group and can, sometimes, pose a real challenge to the anesthesiologists as far as the airway management is concerned. Here, we report a case of FB bronchus in a 3 year 2 months old boy, presenting to the emergency in a cyanosed and comatosed condition with severe respiratory distress. In spite of the unavailability of a pediatric fiberoptic bronchoscope in our hand, the gradual declining condition of the baby made us to take the challenge. The FB was successfully removed through a tracheotome using a nasal endoscope.