Anesthetic Management of Tracheobronchial Foreign Body Aspiration Cases in Children
Tracheobronchial Foreign Body Aspiration Cases in Children
Background: Foreign body aspiration is one of the most common emergencies in paediatrics and is a leading cause of mortality and morbidity in otherwise normal and healthy children. Present study analyses the anaesthetic management and outcome of tracheobronchial foreign body cases in paediatric age group in a span of one year in a tertiary care paediatric hospital setting. Subjects and Methods: Present retrospective study was conducted in patients subjected to diagnostic and therapeutic bronchoscopy for suspected foreign body removal from March 2017 to April 2018. The subjected data was collected as per age, sex, suspected history of foreign body aspiration, clinical features and their duration, location and type of foreign body based on physical examination and radiological evaluation, anaesthetic management and outcome, Intraoperative and postoperative complications if any, postoperative mechanical ventilation if required. All children underwent bronchoscopy using Storz rigid bronchoscope. Results: Seventy two cases underwent bronchoscopy, in 08 cases esophagoscopy was done, 30 patients underwent laryngoscopy out of which one patient required esophagoscopy as well. In 84.1% cases we were able to retrieve foreign bodies, while 15.9% had negative bronchoscopy. 32% patients had vegetative foreign bodies and most common in these were peanuts. Coin was the most common non-vegetative foreign body retrieved during laryngoscopy. On bronchoscopy it was discovered that the most common site of lodgement of foreign bodies was in right main bronchus followed by left main bronchus. Conclusion: Tracheobronchial foreign bodies are frequently observed in young children with serious life threatening effects. There is need for preventive measures including parental education and awareness.