Korean J Anesthesiol.  1995 Jan;28(1):181-185. 10.4097/kjae.1995.28.1.181.

Anesthesia for removal of foreign bodies in bilateral main bronchi

• Kwoen OK
• Chon JY
• Kim ES
• Ahn BI

• KMID: 2090904
• DOI: http://doi.org/10.4097/kjae.1995.28.1.181

Abstract

Foreign body aspiration into the airway causes airway obstruction that may be acutely life-threatening or if undected result in severe lung damage. In case of bilateral bronchial obstruction, the impairment of gas exchange is usually severe enough to threaten the patient's life. And the gas exchange will become worsen during bronchoscopy. So, anesthesia and bronchoscopy for removal of the foreign body should be carried out by skilled personel with appropriate equipment, especially in case of bilateral bronchial obstruction. A 16 month old, cyanotic and dyspneic female infant was brought to operating room for removal of bronchial foreign bodies . The anesthesia was induced and maintained with enflurane(1-2%) -oxygen(100%)- vecuronium using Jackson- Rees breathing system which was connecting to the side arm of ventilating brochoscope. Foreign bodies (peanut), which were two pieces of peanut 4X4X6 mm sized from right and 4X8X12 mm sized from left main bronchus, were sucessfully removed.

Keyword

Anesthesia; Bilateral bronchial foreign bodies; Bronchoscope

MeSH Terms

Airway Obstruction
Anesthesia*
Arm
Bronchi*
Bronchoscopes
Bronchoscopy
Female
Foreign Bodies*
Humans
Infant
Lung
Operating Rooms
Respiration
Vecuronium Bromide
Vecuronium Bromide