Korean J Crit Care Med.  2013 Aug;28(3):201-203. 10.4266/kjccm.2013.28.3.201.

Foreign Body Removal at Right Main Bronchus in A Neonate

• Ri HS
• Shin SW
• Baek SH
• Kim HJ
• Lee SJ
• Baik SW

• KMID: 2227841
• DOI: http://doi.org/10.4266/kjccm.2013.28.3.201

Abstract

Foreign body in the airway could be a life-threatening risk, especially for young pediatric patients. A 6-day old male patient with foreign body, which was located deep in the right main bronchus was being admitted. Although we tried three times to remove it with rigid bronchoscopic forceps under the general anesthesia, we failed. Before switching to surgical treatment, we changed the Trendelenburg position and tapped his back several times in order to alter the foreign body toward the forcep. Finally we were able to catch and extract the foreign body successfully. We suggest that back percussion with the Trendelenburg position is a useful solution to remove a foreign body within a deep airway.

Keyword

back percussion; bronchial foreign body; posture

MeSH Terms

Anesthesia, General
Bronchi
Foreign Bodies
Head-Down Tilt
Humans
Infant, Newborn
Male
Percussion
Posture
Surgical Instruments