A Pediatric Case of Removal of a Bronchial Foreign Body Using a Laryngeal Mask Airway

DOI 9 References
  • Toba Hiroaki
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Sakiyama Shoji
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Morimoto Masami
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Kajiura Koichiro
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Nakagawa Yasushi
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Kawakami Yukikiyo
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Takizawa Hiromitsu
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Kenzaki Koichiro
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Kondo Kazuya
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima
  • Tangoku Akira
    Department of Thoracic and Endocrine Surgery and Oncology, the University of Tokushima

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Other Title
  • 摘出時にラリンジアルマスクを使用した小児気管支異物の1例

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Abstract

Background. We report a pediatric case of remove of bronchial foreign body using a laryngeal mask airway and flexible bronchoscopy. Case. A 18-month-old girl accidentally inhaled a peanut. Afterwards she entered another hospital with a chief complaint of wheezing and received antibiotic treatment. On the next day, an abnormal shadow was pointed out, which was suspected to indicate a foreign body, in the left main bronchus. Chest computed tomography (CT) scan was carried to our hospital. On the same day, after the airway was cleared using a laryngeal mask airway (LMA size 2.0) under general anesthesia, a flexible bronchoscope (external diameter 4.0 mm) was inserted. The foreign body was successfully removed with a balloon-tip catheter. The foreign body was a peanut. Conclusion. By using a laryngeal mask airway, we could maintain available ventilation and enable a smooth procedure using a flexible bronchoscope while removing a pediatric bronchial foreign body.

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