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.
Department of Anaesthesia and Intensive Care, Singapore General Hospital.
S S
SS
Tan
S S
SS
Dhara
C K
CK
Sim
D001999:Bronchoscopy; D005547:Foreign Bodies / Q000628:therapy*; D006611:High-Frequency Jet Ventilation; D006801:Humans; D007223:Infant; D007830:Larynx; D008297:Male; D014139:Tracheostomy / Q000379:methods*