Rigid Bronchoscopy and Jet Ventilation in Foreign Body Aspiration in A Two-Year-Old Female: A Case Report

Abstract

Foreign body aspiration is a leading cause of mortality in children of age group 1-3 years and presents significant challenges to the anaesthesiologist in maintaining oxygenation and ventilation while there is instrumentation of the airway by the endoscopist. Here, we report a two-year-old child who came to the emergency room with sudden onset breathlessness, coughing and bluish discolouration. The foreign body lodged in the right mainstem bronchus was removed with the help of a rigid bronchoscope and oxygenation was maintained with jet ventilation. The cooperation between the anaesthesiologist and the endoscopist, proper timing of the procedure, choice of anaesthetic technique and familiarity with equipments saved the child.

Keywords

• breathlessness
• halothane
• manujet iii
• premedication