Open AccessForeign body removal with repair of iatrogenic tracheo-bronchial tear repair: An anesthetic challenge
Author(s) -
Vikram Uday Lahori,
Aggarwal Sk,
Pemala Simick,
Sudhindra Dharmavaram
Publication year - 2011
Publication title -
journal of anaesthesiology-clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.86602
Subject(s) - medicine , fiberscope , foreign body , airway , surgery , bronchoscopy , anesthesia , thoracotomy , foreign body aspiration , intubation , laryngoscopy
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.