An unusual foreign body in tracheobronchial tree: A case report

  • Ajinkya Bhosle Department of Anesthesiology, Grant Medical College and Sir J.J. Hospital
  • Vaishali Mohod Department of Anesthesiology, Grant Medical College and Sir J.J. Hospital.
  • Krishnarao Bhosle Department of Cardio-thoracic and Vascular Surgery, Grant Medical College and Sir J.J. Hospital.
  • Afroz Quazi Department of Anesthesiology, Grant Medical College and Sir J.J. Hospital.
Keywords: Foreign body, Bronchoscopy, Tracheostomy, Difficult intubation

Abstract

Foreign body (FB) in tracheobronchial tree is a serious and potentially fatal condition in all age groups. Early diagnosis and removal are imperative to prevent mortality as well as complications.

A 45 year old heroine (diamorphine) addict was brought to the emergency department in a gasping state, with a history of substance abuse. The patient was intubated with Portex® cuffed endotracheal tube No. 8 and was shifted to intensive care unit for ventilation. Follow up x-ray chest revealed a metallic wire like FB in the bronchus. In the operating room, rigid bronchoscopy under general anesthesia failed to remove FB. Fibreoptic bronchoscope revealed an intubation stylet below carina. Subsequent attempts were unsuccessful so tracheostomy was done and the stylet was removed through tracheal stoma under fibreoptic visualization. The ventilation strategies used being ventilating bronchoscope, intermittent mask ventilation and intubation twice.

 

Published
01-23-2019
How to Cite
Bhosle, A., Mohod, V., Bhosle, K., & Quazi, A. (2019). An unusual foreign body in tracheobronchial tree: A case report. Anaesthesia, Pain & Intensive Care, 80-82. Retrieved from https://www.apicareonline.com/index.php/APIC/article/view/236
Issue
Vol.20 No.1(2016): January-March
Section
Case Reports