Aero - Digestive Foreign Bodies in Tertiary Care Hospital of Southern Rajasthan: One Year Prospective Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 2
Abstract
Backgound and Aim: Foreign body lodgement in aero-digestive tract is a common surgical emergency presenting to the department which contributes to high morbidity and occasional mortality. Severity of symptoms depends upon the site, size, composition, and the period for which the foreign body has been present. Aim of our study was to analyze the event following foreign body aspiration in aero-digestive tract regarding-demographic characterstics of patients, history of event, type and site of foreign body, anaesthetic management and complications. Method: 65 cases of foreign body in aero-digestive tract (50 in food passage and 15 in airway), treated over one year period (prospectively) were reviewed. Foreign body retrieval was done by invasive procedures like laryngoscopy assisted / rigid endoscopy assisted under general anaesthesia. All the cases were done under controlled ventilation with muscle relaxant. In trachea-bronchial cases intermittent positive pressure ventilation via jet ventilation most commonly used technique. Results: The incidence of foreign body ingestion - in food passage 56% of patients were below 6 year of age, 30% between 3-6 years of age followed by 20% between 1-3 years. While in case of airway 53.33% were between the age group of 1-3 years. Most common site of lodgement of foreign body was cricopharynx (44%) in food passage and right main bronchus (53.33%) in airway. Most common foreign body found was coin (56%) in digestive tract, while vegetative foreign body (73.33%) in airway. In food passage most common symptom was dysphagia (82%) while in airway cough (66.66%) and difficulty in breathing (80%) were common findings. Conclusion: Foreign bodies in aero-digestive tract constitute a serious and potentially fatal situation usually occurring in pediatric population. Controlled ventilation with muscle relaxant is the preferred anaesthetic technique.
Authors and Affiliations
Lalit Kumar Raiger
Effect of Posture on Postoperative Oxygen Saturation in Patients Undergoing Upper Abdominal Surgery under General Anaesthesia: It Matters
Context: Incidence of postoperative pulmonary complications is between 3050% in patients undergoing abdominal surgery. Addressing pain at surgical site and improving respiratory mechanics , to reduce postoperative hypox...
Evaluation of Low Dose Dexmeditomedine as an Adjuvant to Bupivacaine 0.25% in Supraclavicular Brachial Plexus Blocks
Context: The assessment of the efficacy of low dose (30 micrograms) of dexmeditomedine added to 0.25% bupivacaine was studied for the prolongation of the duration of sensory and motor block in supraclavicular brachial pl...
A Prospective Comparative Study of 0.5% Levobupivacaine versus 0.5% Ropivacaine in Supraclavicular Brachial Plexus Block
Background: Levobupivacaine is a s enantiomer of bupivacaine has been introduced in clinical practise in India, with lower cardio toxicity and neurotoxicity in comparison to bupivacaine [7,8]. We have designed present st...
A Comparative Study of Combined Spinal Epidural with Epidural for Labour Analgesia Using Lower Concentrations of Bupivacaine and Fentanyl
Aim: 1. To compare the analgesic efficacy of combined spinal epidural with epidural for labour analgesia using lower concentrations of Bupivacaine and Fentanyl. 2. To asses the effects of these agents on the maternal phy...
Comparative Study to Assess the Efficacy of Epidural Steroid Injection by Interlaminar and Trans-Foraminal Approach for Low Back Ache with Unilateral Lumbar Radicular Pain
Background: Interlaminar and trans-foraminal epidural steroid injections are commonly performed interventions in managing low backache with lumbosacral radicular pain.However, controversy exists to the superiority of one...