Abstract
A 2-year-old boy is brought into the emergency room with wheezing and stridor. The parents accompanying the child tell you that they are sure there is a peanut stuck in his windpipe. This happened 3–4 h prior to admission. The time is now 6 p.m. Chest exam exhibits classical laryngeal obstruction and with decreased bilateral air entry. The child is frightened and very distressed. He will not have any noninvasive monitors put on, including the oxygen saturation. You are comforted by the fact that he does not look cyanosed. He is using his accessory muscles and everyone can hear that he is wheezing with each forced exhalation.
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References
Brock-Utne JG. Clinical anesthesia near misses and lessons learned. New York: Springer; 2008. Chapter 64.
Roberts JR, Benjamin JT, Fox S. Crunchy peanut butter: a cause of foreign body aspiration in children. Clin Pediatr. 1996;35:591–2.
Cataneo AJ, Reibscheid SM, Ruiz Junior RL, Ferrari GF. Foreign body in the tracheobronchial tree. Clin Pediatr. 1997;36:701–6.
Ramirez-Figueroa JL, Gochicoa-Rangel LG, Ramierz-San Juan DH, Vargas MH. Foreign body removal by flexible fiberoptic bronchoscopy in infants and children. Pediatr Pulmonol. 2005;40:392–7.
Brloc F, Umihanic S. Tracheobronchial foreign bodies in children. Experience at ORL clinic Tuzla. 1954–2004. Int JPediatr Otorhinolaryngol. 2007;71:909–15.
Ho AMH, Soo G, Lee S, Chung DC, Crtichley LAH, Karmakar MK. Images in anesthesia: airway obstruction after peanut aspiration—air trapping is due to airway distention and narrowing. Can J Anesth. 2005;52:205–6.
Vane DV, Pritchard J, Colville CW, et al. Bronchoscopy for aspirated foreign bodies in children: experience in 131 cases. Arch Surg. 1988;123:885–8.
Kosloske AM. Bronchoscopic extraction of aspirated foreign bodies in children. Am J Dis Child. 1982;136:924–7.
Litman RS, Ponnuri J, Trogan I. Anesthesia for tracheal or bronchial foreign body removal in children: analysis of ninety-four cases. Anesth Analg. 2000;91:1389–91.
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Brock-Utne, J.G. (2013). Case 57: A Peanut in the Airway. In: Near Misses in Pediatric Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7040-3_57
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DOI: https://doi.org/10.1007/978-1-4614-7040-3_57
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