Benefit of Laryngeal Masks in the Extirpation of Airway Foreign Bodies in Infant

  • Masuda Mikio
    Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital
  • Suzuki Takashi
    Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital
  • Suzuki Shuichi
    Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital
  • Tomaru Teruaki
    Department of Anesthesiology, Showa University Fujigaoka Hospital
  • Kamio Yoshito
    Department of Respiration Center, Showa University Yokohama City Northern Hospital
  • Kitami Akihiko
    Department of Respiration Center, Showa University Yokohama City Northern Hospital

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Other Title
  • 小児気道異物の摘出におけるラリンゲルマスク(Laryngeal mask)の有用性

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Background. Rigid bronchoscopes have been used to extirpate foreign bodies in the airways of children. We report the use of this maneuver in the removal of airway foreign bodies in two young children. Case 1. A 2-year-old male infant was admitted on the 8th day after mis-swallowing a peanut. A size 2 laryngeal mask was positioned and then we inserted a fiberoptic bronchoscope (5.2 mm diameter) into the trachea. A biopsy forceps was used through the channel of the fiberoptic bronchoscope to remove the foreign body in the right main bronchus bit by bit. Case 2. A 32-month-old male infant was admitted on the 5th day after mis-swallowing an almond. We employed a size 2 laryngeal mask and a fiberoptic bronchoscope. The foreign body in the right main bronchus was extirpated using a biliary basket in total. Conclusion. The conbined use of a fiberoptic bronchoscope and a laryngeal mask to extirpate airway foreign bodies in 2-year-old children was effective. In particular, the biliary basket was easy to manipulate and facilitated extirpation of the foreign body in total. Providing oxygen through the forceps channel was beneficial to maintain a clear view and oxygenation.

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