Pediatric investigation · 2019
Anesthetic management in a 1-year-old child undergoing removal of a large metal tracheobronchial foreign body.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ren Yi, Zhang Jianmin, Xin Zhong
Аннотация
INTRODUCTION: Pediatric tracheobronchial foreign body aspiration can be a life-threatening emergency, especially in young children because of their decreased respiratory reserve and smaller-diameter airways.
CASE PRESENTATION: We herein present a case in which a 1-year-old female child aspirated a 9-cm long metal chain into the lower trachea and right main bronchus. The chain was removed via low tracheotomy and rigid bronchoscopy under general anesthesia. An intravenous anesthetic alone with a muscle relaxant was used to ensure an immobile airway during surgery instead of the more commonly used inhalation anesthetics with spontaneous ventilation.
CONCLUSION: The case re-affirms that the removal of some large and irregular airway foreign bodies is a challenging procedure that requires a proper anesthetic plan and coordination with surgeons.
CASE PRESENTATION: We herein present a case in which a 1-year-old female child aspirated a 9-cm long metal chain into the lower trachea and right main bronchus. The chain was removed via low tracheotomy and rigid bronchoscopy under general anesthesia. An intravenous anesthetic alone with a muscle relaxant was used to ensure an immobile airway during surgery instead of the more commonly used inhalation anesthetics with spontaneous ventilation.
CONCLUSION: The case re-affirms that the removal of some large and irregular airway foreign bodies is a challenging procedure that requires a proper anesthetic plan and coordination with surgeons.