Removal of a laryngeal foreign body using high frequency jet ventilation.
Aspiration of a foreign body into the respiratory tract is a common and serious accident in childhood. Laryngotracheal foreign bodies, although less common than bronchial foreign bodies, are potentially more dangerous. Removal is commonly achieved using a rigid ventilating bronchoscope. We report a 16-month-old boy who had an open safety pin impacted in his larynx. This was removed through a tracheostomy, using high frequency jet ventilation to maintain gaseous exchange. We believe that this is the first case in which this method of removal has been reported.
Tan
S S
SS
Department of Anaesthesia and Intensive Care, Singapore General Hospital.
Dhara
S S
SS
Sim
C K
CK
D001999:Bronchoscopy; D005547:Foreign Bodies / Q000628:therapy*; D006611:High-Frequency Jet Ventilation; D006801:Humans; D007223:Infant; D007830:Larynx; D008297:Male; D014139:Tracheostomy / Q000379:methods*