Anesth Pain Med.  2016 Jan;11(1):109-112. 10.17085/apm.2016.11.1.109.

Flexible bronchoscopic foreign body removal through the I-gel supraglottic airway: A case report

• Yoo JY
• Lee YS
• Hong SY
• Park SH
• Min TJ
• Kim WY
• Kim JH
• Park YC

• KMID: 2169085
• DOI: http://doi.org/10.17085/apm.2016.11.1.109

Abstract

The daily insertion of endotracheal tubes, laryngeal mask airways, oral/nasal airways, gastric tubes, transesophageal echocardiogram probes, esophageal dilators and emergency airways all involve the risk of airway structure damage. In the closed claims analysis of the American Society of Anesthesiologists, 6% of all claims concerned airway injury. Among the airway injury clams, the most common cause was difficult intubation. Among many other causes, esophageal stethoscope is a relatively noninvasive monitor that provides extremely useful information. Relatively not many side effects that hardly is ratable. Some of that was from tracheal insertion, bronchial insertion resulting in hypoxia, hoarseness due to post cricoids inflammation, misguided surgical dissection of esophagus. Also oropharyngeal bleeding and subsequent anemia probably are possible and rarely pharyngeal/esophageal perforations are also possible because of this device. Careful and gentle procedure is necessary when inserting esophageal stethoscope and observations for injury and bleeding are needed after insertion.

Keyword

Bronchoscopes; Foreign bodies; Laryngeal masks

MeSH Terms

Anemia
Anoxia
Bivalvia
Bronchoscopes
Emergencies
Esophagus
Foreign Bodies*
Hemorrhage
Hoarseness
Inflammation
Insurance Claim Review
Intubation
Laryngeal Masks
Stethoscopes

Figure

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  Fig. 1 Posteroanterior chest radiograph shows a radiopaque material lodged in the right bronchus intermedius.

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  Fig. 2 Bronchoscope shows a metallic foreign body at the orifice of right upper lobar bronchus.

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  Fig. 3 Reusable grasping basket.

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  Fig. 4 The foreign body is 1.1 cm sized artificial tooth with crowning material.

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