An unusual foreign body in tracheobronchial tree: A case report. | [Anaesthesia, Pain and Intensive Care • 2016]

Author(s):

1. Ajinkya Bhosle: Department of Anesthesiology, Grant Medical College and Sir J.J. Hospital, Mumbai, India

2. Vaishali Mohod: Department of Anesthesiology, Grant Medical College and Sir J.J. Hospital, Mumbai, India

3. Krishnarao Bhosle: Department of Cardio-thoracic and Vascular Surgery, Grant Medical College and Sir J.J. Hospital, Mumbai, India

4. Quazi Afroz: Department of Anesthesiology, Grant Medical College and Sir J.J. Hospital, Mumbai, India

Abstract:

Foreign body (FB) in tracheobronchial tree is a serious and potentially fatal condition in all age groups. Early diagnosis and removal are imperative to prevent mortality as well as complications. A 45 year old heroine (diamorphine) addict was brought to the emergency department in a gasping state, with a history of substance abuse. The patient was intubated with Portex® cuffed endotracheal tube No. 8 and was shifted to intensive care unit for ventilation. Follow up x-ray chest revealed a metallic wire like FB in the bronchus. In the operating room, rigid bronchoscopy under general anesthesia failed to remove FB. Fibreoptic bronchoscope revealed an intubation stylet below carina. Subsequent attempts were unsuccessful so tracheostomy was done and the stylet was removed through tracheal stoma under fibreoptic visualization. The ventilation strategies used being ventilating bronchoscope, intermit-tent mask ventilation and intubation twice.

Page(s): 80-82

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 20, Issue: 1, Year: 2016

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