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Chapter 69 - Foreign Body Aspiration

from Section 7 - Pediatric Anesthesia

Published online by Cambridge University Press:  03 August 2023

Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 2-year-old boy presents to the emergency department with new-onset irritability and coughing, and the parents report a sudden onset of difficulty breathing. The patient’s parents deny history of asthma, recent fevers, or recent upper respiratory tract infection. The patient’s parents report that he was in his usual state of health until an hour ago after he was found playing in his playroom alone. His temperature is 37.4 °C, heart rate 110 beats/min, respiratory rate 40 breaths/min, SpO2 85% on room air and wheezing is noted on physical exam. What are your concerns? How will you induce anesthesia? Which inhaled anesthetic would you use and why? How would you maintain anesthesia for the procedure?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
, pp. 291 - 292
Publisher: Cambridge University Press
Print publication year: 2023

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References

Bould, MD. Essential notes: the anaesthetic management of an inhaled foreign body in a child. BJA Edu 2019;19(3):6667.CrossRefGoogle ScholarPubMed
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 2552–3.Google Scholar
Kendigelen, P. The anaesthetic consideration of tracheobronchial foreign body aspiration in children. Journal of Thorac Dis 2016;8(12):3803–7.CrossRefGoogle ScholarPubMed

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