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Use of nebulized adrenaline to aid expulsion of intra-nasal foreign bodies in children

  • Adam R. Douglas (a1)


Foreign bodies in the noses of children may often be expelled by simple nose blowing. Success of this manoeuvre depends on how firmly the object is lodged, and on the co-operation and skill of the child. Attempts at direct removal using instruments frequently result in the patient becoming distressed and resort to general anaesthesia is sometimes required. This short communication describes a series of cases in which nebulized adrenaline helped loosen firmly impacted foreign bodies, thereby facilitating removal, minimizing upset for the child, and avoiding anaesthetic risk.


Corresponding author

Address for correspondence: Dr A. R. Douglas, Dept of Otolaryngology, Freeman Hospital, Freeman Road, Newcastle upon Tyne NE7 7DN.


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Baker, M. D. (1987) Foreign bodies in the ears and nose in childhood. Paediatric Emergency Care 3(2): 6770.
Hanson, R. M., Stephens, M. (1994) Cyanoacrylate-assisted foreign body removal from ear and and nose in children. Journal of Paediatrics and Child Health 30(1): 7778.
MacDonnell, S. P., Timmins, A. C., Watson, J. D. (1995) Adrenaline administered via a nebulizer in adult patients with upper airways obstruction. Anaesthesia 50(1): 3536.
Remington, S., Meakin, G. (1986) Nebulized adrenaline 1:1000 in the treatment of croup. Anaesthesia 41(9): 923926.



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