Anesthesia for removal of foreign bodies in bilateral main bronchi.
10.4097/kjae.1995.28.1.181
- Author:
Ou Kyoung KWOEN
1
;
Jin Young CHON
;
Eun Sung KIM
;
Byoung Ik AHN
Author Information
1. Department of Anesthesiology, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthesia;
Bilateral bronchial foreign bodies;
Bronchoscope
- MeSH:
Airway Obstruction;
Anesthesia*;
Arm;
Bronchi*;
Bronchoscopes;
Bronchoscopy;
Female;
Foreign Bodies*;
Humans;
Infant;
Lung;
Operating Rooms;
Respiration;
Vecuronium Bromide
- From:Korean Journal of Anesthesiology
1995;28(1):181-185
- CountryRepublic of Korea
- Language:Korean
-
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.
