scholarly journals Repeated Synchronous Aspiration and Ingestion of a Sharp Metallic Foreign Body in a Mentally Disabled Adolescent

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Dragan Subotic ◽  
Nikola Atanasijadis ◽  
Dejan Moskovljevic ◽  
Dragana Asujic
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
Rigid Bronchoscopy ◽  
Metallic Foreign Body ◽  
Surgical Team ◽  
Descending Aorta ◽  
Mentally Disabled ◽  
Airway Injury ◽  
Threatening Condition ◽  
Life Threatening

In a mentally disabled adolescent, bronchoscopic extraction failure of a metallic foreign body from the left main bronchus was followed by mediastinal emphysema. At thoracotomy, a part of the metallic hook was found to protrude through the main bronchus, just by the descending aorta. The foreign body was removed and the bronchus sutured. After the thoracotomy closure, laparotomy was performed with removal of metallic pieces from the stomach. After three years, a repeated metallic foreign body aspiration as confirmed by the chest radiography ensued, with metallic pieces in the bowels as well. With the surgical team on site, rigid bronchoscopy was done and the foreign body extracted from the intermediate bronchus. Metallic pieces left the digestive tract spontaneously after a few days. In conclusion, the appropriate preoperative workup and timing for surgery are essential for the treatment outcome of this life-threatening condition; because of the high likelihood of the major airway injury, such procedures should be done with a surgical team available whenever possible.

scholarly journals The Management of Near-Fatal Hemoptysis with Left Secondary Carinal Y Stent

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Levent Dalar ◽  
Cengiz Özdemir ◽  
Sinem Sökücü ◽  
Levent Karasulu ◽  
Sedat Altın
Keyword(s):  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Rigid Bronchoscopy ◽  
Left Main Bronchus ◽  
Massive Hemoptysis ◽  
Left Main ◽  
Threatening Condition ◽  
Life Threatening ◽  
Successful Control ◽  
Submucosal Infiltration

Massive hemoptysis can be a life threatening condition and needs urgent treatment in lung cancer. In the fiberoptic bronchoscopy of a fifty-two-year-old who was admitted with hemoptysis, left upper lobe upper division orifice was seen totally obstructed with a submucosal infiltration. One hour after the mucosal biopsies, massive hemoptysis occurred. Urgent rigid bronchoscopy was performed. The left main bronchus was occluded by sterile gauze. After cleaning of the coagulum patient was intubated and charged to intensive care unit. The next day, rigid bronchoscopy was repeated and the bleeding was observed to continue from the left upper lobe. Removing the gauze, 14 × 10 × 10 mm silicon Y stent was inserted in the left main bronchus after adjustments were made. Bleeding was stopped after insertion of the stent and patient could be extubated. In this case a successful control of hemoptysis was sustained after insertion of a customized silicon stent was presented.

scholarly journals A comparison between Sevoflurane Volatile Induction/Maintenance Anesthesia and Propofol Total Intra-venous Anesthesia for Rigid Bronchoscopy under Spontaneous Breathing for Tracheal/Bronchial Foreign Body Removal in Children

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
O M T Al-Safty ◽  
O R Youssef ◽  
D M Kamaleldin ◽  
M K M Youssef
Keyword(s):  
Foreign Body ◽  
Controlled Trial ◽  
Anesthetic Management ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Foreign Body Removal ◽  
Bronchial Foreign Body ◽  
Threatening Condition ◽  
Life Threatening ◽  
Double Blinded

Abstract Background Foreign body aspiration is a life-threatening condition. Asphyxiation from inhaled foreign bodies is a leading cause of accidental death among children younger than 4 years. While early clinicians used topical anesthesia, general anesthesia became common place for the removal of aspirated objects with increased experience with the rigid bronchoscope and advances in anesthetic delivery. Inhaled anesthesia and total intravenous anesthesia are widely used for rigid bronchoscopy in children. Objective In this study, we compared sevoflurane VIMA and propofol TIVA, when used for both induction and maintenance of anesthesia in children undergoing rigid bronchoscopy for tracheal or bronchial foreign body removal. Methods This is a prospective double – blinded, randomized controlled Trial, After Approval is obtained from the research ethics committee of anaesthesia and intensive care department, Ain Shams University. Patients were randomly divided into two groups (n = 30 each). In Group VIMA, anesthesia was induced with inhalation of sevoflurane. Before induction, a closed circuit with a 1-l reservoir bag was overflowed by 8 vol % sevoflurane with 0.3 l/min fresh oxygen flow for 3 min. In Group TIVA, a bolus of 2.5 mg/kg propofol was administered over 30 seconds. Additional propofol 0.5–1 mg/kg was given as needed to deepen anesthesia. Results Our results demonstrate that compared with propofol TIVA, sevoflurane VIMA provides more stable haemo-dynamics and respiration, faster induction and recovery and higher incidence of excitement in paediatric patients undergoing tracheal/bronchial foreign body removal. Conclusion Foreign body aspiration is a life-threatening condition. Anesthetic management can be challenging, as the airway is shared with the surgeon and adequate ventilation must be maintained despite airway manipulation.

scholarly journals A Cause of Asthma Misdiagnosis: Foreign Body Aspiration That Allows Air Passage Through

2021 ◽  
Author(s):  
Zeynep Reyhan Onay ◽  
Yetkin Ayhan ◽  
Nilay Baş İkizoğlu ◽  
Ersan Uzun ◽  
Gülay Bilgin ◽  
...  
Keyword(s):  
Foreign Body ◽  
Fiber Optic ◽  
Main Bronchus ◽  
Foreign Body Aspiration ◽  
Asthma Treatment ◽  
Left Main ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Air Passage

Foreign body aspiration is a life-threatening condition in childhood. Clinical and radiological diagnosis may be delayed in cases in which foreign body has a lumen and allows the air passage through and is also misdiagnosed as asthma or chronic cough. The delay in the diagnosis can cause morbidity and mortality. We have reported the case of an 11-year-old boy with foreign body aspiration who has been treated as asthma. His dry cough could not be controlled with the asthma treatment. He had swallowed a piece of pipette before the coughing started. Fiber optic bronchoscopy was applied. The piece of pipette was seen in the left main bronchus which allowed the air passage through its lumen. After the removal, his complaints disappeared. In conclusion, the patients with a history of aspiration and without signs of lateralization in physical or radiological examinations should be evaluated by fiber optic bronchoscopy in terms of foreign body aspiration.

scholarly journals METALLIC FOREIGN BODY IN LEFT MAIN BRONCHUS (A Case Report)

1994 ◽  
Vol 50 (2) ◽  
pp. 147-148
Author(s):  
KV SURYANARAYANA ◽  
PC CHAMYAL ◽  
MR WAGHRAY
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Metallic Foreign Body ◽  
Left Main

scholarly journals Car Windshield Wiper in the Brain: Case Report

2016 ◽  
Vol 02 (02) ◽  
pp. e42-e45
Author(s):  
Zhenpeng Liu ◽  
Xianzeng Hou ◽  
Xiaoyong Fan ◽  
Yuanyuan Hu ◽  
Guangcun Liu
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Foreign Body ◽  
Rare Case ◽  
Metal Strip ◽  
Postoperative Treatment ◽  
Metallic Foreign Body ◽  
Windshield Wiper ◽  
Life Threatening ◽  
The Brain

Background Transorbital intracranial penetrating injury is rare. Damage caused by a huge metallic foreign body is very critical and life-threatening. Method We report an extremely rare case of transorbital intracranial penetrating metal strip (a car windshield wiper), which has not previously been reported in the literature. Results Emergency craniotomy was performed; the object was removed successfully, and the patient's life was saved. Conclusion With the life-threatening penetrating brain injury caused by a huge foreign body, prompt surgical treatment and comprehensive postoperative treatment are important to save patients' lives.

scholarly journals Foreign Body Aspiration in Dentistry

2021 ◽  
pp. 8-14
Author(s):  
Drishti Dixit ◽  
Amit Reche ◽  
Kumar Gaurav Chabra ◽  
Priyanka Paul Madhu ◽  
Anura Saher Raza
Keyword(s):  
Foreign Body ◽  
Standard Operating Procedure ◽  
Foreign Body Aspiration ◽  
Careful Study ◽  
Age Group ◽  
Aged Patients ◽  
Age Related ◽  
Threatening Condition ◽  
Foreign Body Extraction ◽  
Life Threatening

Background: The foreign body aspiration is very common while performing a dental procedure. Most of the patients are from lower age group as these group of people have high amount of sugar and starch containing diet which is not good for the oral health. But it is not limited to them and several aged patients are also victim of foreign body aspiration. Summary: Foreign bodies can be anything from cloth dam, barrier techniques itself to broken tooth. Due to age related delayed gag reflex and impact of anesthesia can be possible reasons behind the foreign body aspiration. Pulmonary aspiration is a serious cause of concern and cannot be neglected. It can go unnoticed which can brought to cognizance after careful study and observation of the radiographs. Endoscopic procedures are used to locate and extract the foreign body from the lungs. Conclusion: Proper guidelines regarding the extraction of foreign body extraction and identification must be followed as it is life threatening condition. Vulnerable age group must be treated with extra caution and every chance of mistake must be covered. Standard operating procedure must be strictly adhered to in order rot have maximum accuracy.

scholarly journals Broken metallic tracheostomy tube migrating into the tracheobronchial tree

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Nilam U. Sathe ◽  
Ratna Priya ◽  
Sheetal Shelke ◽  
Kartik Krishnan
Keyword(s):  
Foreign Body ◽  
Tracheostomy Tube ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Life Saving ◽  
Wear And Tear ◽  
Life Threatening ◽  
History Of ◽  
The Right ◽  
Periodic Replacement

Foreign body aspiration can be a life-threatening emergency. Broken tracheostomy tube in tracheobronchial tree is one of the rarest types of foreign body reported. Here we report two cases of fracture of metallic tracheostomy tube, leading to foreign body in tracheobronchial tree. A 14-year-old girl presented to our Emergency Department with history of respiratory distress and violent bouts of cough since 2 days. Chest X-ray showed that the broken part of the tube was lodged in the right main bronchus. The presence of Parkinson’s disease in the patient and restricted neck flexion offered a challenge both for the anaesthetist and the surgeon. We were successful in removing the broken tube in 13 small pieces. Check bronchoscopy was clear and the procedure went uneventful. We would like to conclude that broken tracheostomy tube presenting as foreign body bronchus is infrequent but it is a preventable complication of tarcheostomy. The patient must be kept on regular follow up to check for signs of wear and tear. Timely and periodic replacement of tracehostomy tube should also be done, otherwise such life-saving surgery can become lifethreatening.

scholarly journals Application of the Virtual Bronchoscopy in Children with Suspected Aspiration of the Foreign Body - Case Report

2016 ◽  
Vol 17 (4) ◽  
pp. 361
Author(s):  
Gordana Kostic ◽  
Marina Petrovic ◽  
Slavica Markovic ◽  
Jasmina Knezevic ◽  
Zoran Igrutinovic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Fiber Optic ◽  
Inhaled Corticosteroids ◽  
Clinical Symptoms ◽  
Clinical Signs ◽  
Rigid Bronchoscopy ◽  
Virtual Bronchoscopy ◽  
Peripheral Airways ◽  
Life Threatening ◽  
Body Case

Abstract In diagnosing the aspiration of the foreign body (AFB) in children most important are: medical history, clinical signs and positive radiography of the lungs. Common dilemmas in the diff erential diagnosis are life-threatening asthma attacks or difficult pneumonia. Conventional rigid bronchoscopy (RB) is not recommended as a routine method. Virtual bronchoscopy (VB) can be a diagnostic tool for solving dilemmas. Fiber-optic bronchoscopy (FOB) has a therapeutic stake in severe cases. Herein, we describe a girl, at the age of 6, who was hospitalized due to rapid bronchoconstriction and based on the anamnesis, clinical symptoms and physical fi ndings the suspicion was that she aspirated the foreign body. Due to the poor general condition and possible sequel, the idea of RB was dropped out. Multidetector computed tomography of the chest and VB was performed and AFB was not found. Due to positive epidemiological situation, virus H1N1 was excluded. FOB established that the foreign body does not exist in the airways. During bronchoscopy numerous castings are aspirated from the peripheral airways which lead to faster final recovery. With additional procedures, the diagnosis of asthma was confirmed and for girl that was the first attack. Along with inhaled corticosteroids as prevention she feels well. Virtual bronchoscopy can be successfully used as a valid diagnostic procedure in suspected foreign body in the children’s lungs, but fiber-optic bronchoscopy remains most important diagnostic and therapeutic method.

scholarly journals Dentures that keeps airway patent: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 394
Author(s):  
Siti F. A. Razak ◽  
Stacy A. Jamarun ◽  
Siti H. Sanudin
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Foreign Body Aspiration ◽  
Main Complaint ◽  
Vehicle Accident ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

<p class="abstract">Foreign body aspiration is a life-threatening condition that requires immediate attention and intervention. Foreign body aspiration in adults usually occurs during dental procedure or motor vehicle trauma. Classical symptoms include choking, cough, haemoptysis, hoarseness or stridor. This case report presents an incident of a foreign body lodged at the subglottic region in an adult wearing dental prosthesis; the main complaint was hoarseness post motor vehicle accident. High index of suspicion coupled with correct investigation will facilitate the diagnosis of a foreign body in the airway thus immediate intervention can be taken to prevent morbidity and mortality.</p>

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