Anesthetic management of the complications of previously undiagnosed ingested foreign body in a pediatric patient.
A case of a previously undiagnosed ingested foreign body, subsequent acquired tracheoesophageal fistula and airway obstruction in a pediatric patient is described. We suggest that the capability to provide cardiopulmonary bypass was a key factor in this patient's survival.
Somerville
Nicola S
NS
Department of Anaesthesia, Guys Hospital, London, UK.
Mearns
Clare
C
Chin
Chris
C
Blaney
Sean
S
Anderson
David
D
D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery; D000768:Anesthesia, General / Q000379:methods*; D018685:Anesthetics, Inhalation; D000779:Anesthetics, Local; D001049:Apnea / Q000209:etiology / Q000628:therapy; D001279:Atracurium / Q000627:therapeutic use; D001999:Bronchoscopy / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D002675:Child, Preschool; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000601:surgery; D007442:Intubation, Intratracheal / Q000379:methods; D007828:Laryngoscopy / Q000379:methods; D008012:Lidocaine; D008738:Methyl Ethers; D003473:Neuromuscular Nondepolarizing Agents / Q000627:therapeutic use; D000077149:Sevoflurane; D014132:Trachea / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000601:surgery; D014140:Tracheotomy / Q000379:methods
D018685:Anesthetics, Inhalation; D000779:Anesthetics, Local; D008738:Methyl Ethers; D003473:Neuromuscular Nondepolarizing Agents; D001279:Atracurium; D000077149:Sevoflurane; D008012:Lidocaine