Near Complete Laryngopharyngeal Obstruction due to Vegetable Foreign Body in an Infant
Article Sidebar
Main Article Content
Abstract
Introduction
Impaction of foreign bodies and obstruction in the upper aero-digestive tract is a medical emergency.
Case Report
A 5-month-old male infant presented with impacted large vegetable foreign body lying in the hypopharynx of an infant causing almost complete laryngeal obstruction. Cardiopulmonary resuscitation was initiated and back blows were given between the blades of the scapula to assist in its removal. Only available curved artery forceps was gently passed beyond the foreign body; blades of the forceps were opened to engage it and foreign body was swept and rolled out. Patient was revived after intensive resuscitation.
Conclusion
Suspect foreign body in the upper aero-digestive tract in any child presenting with severe respiratory distress or apneic spells or choking. Foreign body may be removed with only available curved artery forceps by gently passing beyond it, followed by opening and engaging blades of the forceps to sweep and roll it out of the upper aero-digestive tract.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Narasimhan KL, Chowdhary SK, Suri S, Mahajan JK, Samujh R, Rao KLN. Foreign body airway obstructions in children- lessons learnt from a prospective audit. J Indian Assoc Pediatr Surg. 2002; 7:184-9
Gencpinar P, Duman M. Importance of back blow maneuvers in a 6 month old patient with sudden upper airway obstruction. Turk J Emerg Med. 2015; 15(4):177-8
Abder-Rahman HA. Infants choking following blind finger sweep. J Pediatr. (Rio J) 2009; 85(3):273-5
Kuo CL. Management Strategies for Ingestion of Foreign Objects in the Laryngopharynx. J Oto Rec Surg. 2015; 1(2):110
Wiseman NE. The diagnosis of foreign body aspiration in childhood. J Pediatr Surg. 1984; 19(5):531-5
Heimlich HJ. A life-saving maneuver to prevent food choking. J Am Med Assoc. 1975; 234(4):398-401
Nayak SR, Jena MK, Panda BB, Singh P. Sudden Deaths Due to Choking. J Indian Acad Forensic Med. 2015; 37(1):106-8
Berg MD, Schexnayder SM, Chameides L, Terry M, Donoghue A, Hickey RW, et al. Pediatric basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatr. 2010; 126:1345-60
Sakai T, Kitamura T, Iwami T, Nishiyama C, Tanigawa-Sugihara K, Hayashida S, et al. Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City. Scand J Trauma Resusc Emerg Med. 2014; 22:53
Pfleger A, Eber E. Management of acute severe upper airway obstruction in children. Paediatr Respir Rev. 2013;14:70-7.