title: Oral bag-valve-mask insufflation technique to remove unilateral friable nasal foreign body in emergency department.
abstract: Nasal foreign body in children is not an uncommon presentation to the Emergency Department. Removal is essential. Many methods of removal exist. Nasal wash technique is advocated mainly in friable foreign bodies. We report the successful use of the oral bag-valve-mask insufflation technique to remove friable facial tissue in the left nose of a 2 year-old girl. We used a pediatric bag-valve-mask with a pop-off pressure relief valve to avoid barotrauma. Pop-off pressure relief valve limits the pressure beyond 30mmHg. Conscious sedation was not required. There were no complications.
authors.affiliation: MD, Medical Officer, Emergency Department, Hospital Kuala Lumpur [Cheah Phee Kheng].
authors.forename: Pk
authors.initials: P
authors.lastname: Cheah
authors.affiliation: Md, MMed, Emergency Physician and Lecturer, Department of Emergency Medicine, Hospital Universiti Sains Malaysia, Kelantan [Ahmad Rashidi].
authors.forename: R
authors.initials: R
authors.lastname: Ahmed
authors.affiliation: MBBS, MedicalOfficer, Department of Paediatrics, Hospital Raja Perempuan Zainab II, Kelantan [Ho Chiak-Vun].
authors.forename: Cv
authors.initials: C
authors.lastname: Ho
authors.affiliation: MBBS, MS, Clinical Specialist, ENT Department, Hospital Kuala Lumpur [Lim Chee Chong].
authors.forename: Cc
authors.initials: C
authors.lastname: Lim
keywords: Unilateral nasal foreign body; friable facial tissue; oral bag-valve-mask insufflation technique