title: Heimlich's maneuver-assisted bronchoscopic removal of airway foreign body.
abstract: Aspiration of foreign bodies (FBs) by children can lead to serious illness and sometimes even death. Bronchoscopic removal of the FB is necessary to prevent from any catastrophic event. Sometimes bronchoscopic removal is not possible due to the larger size of the FB, sharp FB, or long duration FB. Tracheostomy is normally used for the removal of such FBs. The aim of this case report is to highlight the use of Heimlich maneuver for the removal of such FBs before opting invasive procedures. In the present case, a 5-year-old child was presented with history of FB aspiration 5 h back. After multiple failed bronchoscopic attempts to remove the FB it was decided to use Heimlich maneuver in the supine position. A single attempt of Heimlich maneuver expelled the FB into the oral cavity, which was removed by Magill's forceps. On repeated bronchoscope check, there was no remnant of FB. Child's further course of stay in hospital was uneventful. In conclusion, Heimlich maneuver may be useful in patient with failed bronchoscope removal of airway FBs before proceeding for tracheotomy or other invasive procedures.
authors.affiliation: Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors.forename: Sohan Lal
authors.initials: SL
authors.lastname: Solanki
authors.affiliation: Department of Anaesthesia and Intensive Care, J. L. N. Medical College and Hospitals, Ajmer, Rajasthan, India.
authors.forename: Shivendu
authors.initials: S
authors.lastname: Bansal
authors.affiliation: Department of Anaesthesia and Intensive Care, J. L. N. Medical College and Hospitals, Ajmer, Rajasthan, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Khare
authors.affiliation: Department of Anesthesia and Intensive Care, Alchemist Hospitals Ltd., Panchkula, Haryana, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Jain
keywords: Bronchoscope; Heimlich maneuver; foreign body