Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry

Abdoulaye Touré; Amadou Yalla Camara; Nze Obiang Pascal Christian; Almamy Bangoura; M'mah Lamine Camara; Donamou Joseph

doi:doi:10.11648/j.ijacm.20231101.14

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Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry

Abdoulaye Touré, Amadou Yalla Camara, Nze Obiang Pascal Christian, Almamy Bangoura, M'mah Lamine Camara, Donamou Joseph

Published in International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 1)

Received: 21 February 2023 Accepted: 20 March 2023 Published: 31 March 2023

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Abstract

Introduction: Foreign body inhalation (FB) is a medical-surgical emergency and a frequent cause of respiratory distress in children. Multidisciplinary management combining ENT surgeon and anesthetist-resuscitator. Rigid or flexible bronchoscopy under general anesthesia in total or inhaled intravenous allows the diagnosis and the extraction of the foreign body. The rarity and seriousness of the inhalations seem to us to justify their publication. We report the journey of a case of inhalation of a foreign body consisting of a 6 centimeter point, the extraction of which was only possible thanks to a bronchoscope associated with a Quick air. Observation: this is a child of three in a particular ATCD from 132 km from the capital for inhalation of a foreign body for several days, after passing through two health structures for extraction without success for lack of a specialist. The child is admitted to the CHU Ignace Deen. The clinical, radiographic examination of the thorax revealed a rectilinear opacity of approximately 6 cm next to the right main bronchus. The indication for extraction under general anesthesia was raised. The first attempt at D12 inhalation with a rigid bronchoscope ended in failure. The second attempt two weeks later under inhalation anesthesia with halothane using a rigid bronchoscope associated with Quick air enabled the successful extraction of a tip of approximately 6cm. The immediate evolution was simple. Conclusion: the anesthesia of the child for inhalation of foreign body is a real challenge for the anesthesiologist-resuscitator. The choice of induction technique can be intravenous or inhalation with preservation of spontaneous ventilation. The rigid bronchoscope associated with the Quick air allowed the extraction.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 1)
DOI	10.11648/j.ijacm.20231101.14
Page(s)	19-22
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Foreign Body, Anesthesia, Rigid Bronchoscope, Quick Air

References

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[2]	Gregori D, Salerni L, Scarinzi C, Morra B, Berchialla P, Snidero S, Corradetti R, et al; ESFBI Study Group. Foreign bodies in the upper airways causing complications and requiring in children aged 0-14 years: results from the ESFBI study. Eur Arch Otorhinolaryngol. 2008 Aug; 265 (8): 971-8.
[3]	A Zineddine, W Gueddari, A Abid. Trancheo-bronchial foreign bodies in children. Archives of Pediatrics 2009; 16: 959-56.
[4]	Adrian Dragos Radu. Anesthesia for interventional rigid bronchoscopy. The practitioner in anesthesia-resuscitation (2010) 14, N°5, 309-312.
[5]	Granry JC, Monrigal JP, Dubin J, et al. In: Sfar, Ed. Foreign body of the airways. Update conferences. 41st National Congress of Anesthesia and Resuscitation. Paris: Elsevier, 1999.
[6]	Swanson KL, Prakash UB, Midthun DE, Edell ES, Utz JP, McDouglas JC, Burtinel WM. Flexible bronchoscopic management of airway foreign bodies in children. Chest. 2002; 121: 1695-700.
[7]	Zur KB, Litman RS. Pediatric airway foreign bodies retrieval: surgical and anesthetic perspectives. pediatrician Anesth 2009; 19: 109-117.
[8]	E. De Franceschi, O. Paut, R. Nicollas. in: Sfar, Ed. Foreign body of the airways. Update conferences. SFAR theme days: Emergencies. Paris: Elsevier, 2004.
[9]	Fidkowski CW, Zheng H, Firth PG. considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases. Anesthetic Analg. 2010 Oct; 111 (4): 1016-25.
[10]	Buu NT, Ansermino M. Anesthesia for removal of inhaled foreign bodies in children. Paediatrician Anaesth 2005; 15: 533.
[11]	Malherbe S, Whyte S, Singh P, Amari E, King A, Ansermino JM. Total intravenous anesthesia and spontaneous respiration for airway endoscopy in children--a prospective evaluation. Paediatrician Anaesth. 2010 May; 20 (5): 434-8.
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[13]	Barker N, Lim J, Amari E, Malherbe S, Ansermino JM. Relationship between age and spontaneous ventilation during intravenous anesthesia in children. Paediatrician Anaesth 2007; 17: 948-955.
[14]	Farrel PT. Rigid bronchoscopy for foreign body removal: anesthesia and ventilation. Paediatrician Anaesth 2004; 14: 84-9.
[15]	Soodan A, Pawar D, Subramanium R. Anesthesia for removal of inhaled foreign bodies in children. Paediatrician Anaesth 2004; 14: 947-52.
[16]	Batra YK, Mahajan R, Bangalia SK, Chari P, Rao KL. A comparison of halothane and sevoflurane for bronchoscopic removal of foreign bodies in children. Ann Card Anaesth 2004; 7: 137-43.
[17]	Wen WP, Su ZZ, Wang ZF, Zhang JJ, Zhu XL, Chai LP, Feng X, Liu KX, Jiang Ay, Lei WB. Anesthesia for tracheobronchial foreign bodies removal via self-retaining laryngoscopy and Hopkins telescopy in children. Eur Arch Otorhinolaryngol 2012; 269: 911-916.
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APA Style

Abdoulaye Touré, Amadou Yalla Camara, Nze Obiang Pascal Christian, Almamy Bangoura, M'mah Lamine Camara, et al. (2023). Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry. International Journal of Anesthesia and Clinical Medicine, 11(1), 19-22. https://doi.org/10.11648/j.ijacm.20231101.14

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ACS Style

Abdoulaye Touré; Amadou Yalla Camara; Nze Obiang Pascal Christian; Almamy Bangoura; M'mah Lamine Camara, et al. Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry. Int. J. Anesth. Clin. Med. 2023, 11(1), 19-22. doi: 10.11648/j.ijacm.20231101.14

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AMA Style

Abdoulaye Touré, Amadou Yalla Camara, Nze Obiang Pascal Christian, Almamy Bangoura, M'mah Lamine Camara, et al. Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry. Int J Anesth Clin Med. 2023;11(1):19-22. doi: 10.11648/j.ijacm.20231101.14

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@article{10.11648/j.ijacm.20231101.14,
  author = {Abdoulaye Touré and Amadou Yalla Camara and Nze Obiang Pascal Christian and Almamy Bangoura and M'mah Lamine Camara and Donamou Joseph},
  title = {Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {1},
  pages = {19-22},
  doi = {10.11648/j.ijacm.20231101.14},
  url = {https://doi.org/10.11648/j.ijacm.20231101.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231101.14},
  abstract = {Introduction: Foreign body inhalation (FB) is a medical-surgical emergency and a frequent cause of respiratory distress in children. Multidisciplinary management combining ENT surgeon and anesthetist-resuscitator. Rigid or flexible bronchoscopy under general anesthesia in total or inhaled intravenous allows the diagnosis and the extraction of the foreign body. The rarity and seriousness of the inhalations seem to us to justify their publication. We report the journey of a case of inhalation of a foreign body consisting of a 6 centimeter point, the extraction of which was only possible thanks to a bronchoscope associated with a Quick air. Observation: this is a child of three in a particular ATCD from 132 km from the capital for inhalation of a foreign body for several days, after passing through two health structures for extraction without success for lack of a specialist. The child is admitted to the CHU Ignace Deen. The clinical, radiographic examination of the thorax revealed a rectilinear opacity of approximately 6 cm next to the right main bronchus. The indication for extraction under general anesthesia was raised. The first attempt at D12 inhalation with a rigid bronchoscope ended in failure. The second attempt two weeks later under inhalation anesthesia with halothane using a rigid bronchoscope associated with Quick air enabled the successful extraction of a tip of approximately 6cm. The immediate evolution was simple. Conclusion: the anesthesia of the child for inhalation of foreign body is a real challenge for the anesthesiologist-resuscitator. The choice of induction technique can be intravenous or inhalation with preservation of spontaneous ventilation. The rigid bronchoscope associated with the Quick air allowed the extraction.},
 year = {2023}
}

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TY - JOUR
T1 - Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry
AU - Abdoulaye Touré
AU - Amadou Yalla Camara
AU - Nze Obiang Pascal Christian
AU - Almamy Bangoura
AU - M'mah Lamine Camara
AU - Donamou Joseph
Y1 - 2023/03/31
PY - 2023
N1 - https://doi.org/10.11648/j.ijacm.20231101.14
DO - 10.11648/j.ijacm.20231101.14
T2 - International Journal of Anesthesia and Clinical Medicine
JF - International Journal of Anesthesia and Clinical Medicine
JO - International Journal of Anesthesia and Clinical Medicine
SP - 19
EP - 22
PB - Science Publishing Group
SN - 2997-2698
UR - https://doi.org/10.11648/j.ijacm.20231101.14
AB - Introduction: Foreign body inhalation (FB) is a medical-surgical emergency and a frequent cause of respiratory distress in children. Multidisciplinary management combining ENT surgeon and anesthetist-resuscitator. Rigid or flexible bronchoscopy under general anesthesia in total or inhaled intravenous allows the diagnosis and the extraction of the foreign body. The rarity and seriousness of the inhalations seem to us to justify their publication. We report the journey of a case of inhalation of a foreign body consisting of a 6 centimeter point, the extraction of which was only possible thanks to a bronchoscope associated with a Quick air. Observation: this is a child of three in a particular ATCD from 132 km from the capital for inhalation of a foreign body for several days, after passing through two health structures for extraction without success for lack of a specialist. The child is admitted to the CHU Ignace Deen. The clinical, radiographic examination of the thorax revealed a rectilinear opacity of approximately 6 cm next to the right main bronchus. The indication for extraction under general anesthesia was raised. The first attempt at D12 inhalation with a rigid bronchoscope ended in failure. The second attempt two weeks later under inhalation anesthesia with halothane using a rigid bronchoscope associated with Quick air enabled the successful extraction of a tip of approximately 6cm. The immediate evolution was simple. Conclusion: the anesthesia of the child for inhalation of foreign body is a real challenge for the anesthesiologist-resuscitator. The choice of induction technique can be intravenous or inhalation with preservation of spontaneous ventilation. The rigid bronchoscope associated with the Quick air allowed the extraction.
VL - 11
IS - 1
ER -

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Author Information

Abdoulaye Touré

Department of Anesthesia-Resuscitation, Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, Ignace Deen University Hospital, Conakry, Republic of Guinea
Amadou Yalla Camara

Department of Medical and Surgical Emergencies, Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, CHU Donka, Conakry, Republic of Guinea
Nze Obiang Pascal Christian

Department of Anesthesia-Resuscitation, Faculty of Medicine, University of Health Sciences, Mother-Child University Hospital of Libreville, Gabon
Almamy Bangoura

Department of Anesthesia-Resuscitation, Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, CHU Ignace Deen, Conakry, Republic of Guinea
M'mah Lamine Camara

Department of Anesthesia-Resuscitation, Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, CHU Donka, Republic of Guinea
Donamou Joseph

Department of Anesthesia-Resuscitation, Faculty of Health Sciences and Technologies, Gamal Abdel Nasser University of Conakry, CHU Donka, Republic of Guinea

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APA Style

Abdoulaye Touré, Amadou Yalla Camara, Nze Obiang Pascal Christian, Almamy Bangoura, M'mah Lamine Camara, et al. (2023). Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry. International Journal of Anesthesia and Clinical Medicine, 11(1), 19-22. https://doi.org/10.11648/j.ijacm.20231101.14

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ACS Style

Abdoulaye Touré; Amadou Yalla Camara; Nze Obiang Pascal Christian; Almamy Bangoura; M'mah Lamine Camara, et al. Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry. Int. J. Anesth. Clin. Med. 2023, 11(1), 19-22. doi: 10.11648/j.ijacm.20231101.14

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AMA Style

Abdoulaye Touré, Amadou Yalla Camara, Nze Obiang Pascal Christian, Almamy Bangoura, M'mah Lamine Camara, et al. Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry. Int J Anesth Clin Med. 2023;11(1):19-22. doi: 10.11648/j.ijacm.20231101.14

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@article{10.11648/j.ijacm.20231101.14,
  author = {Abdoulaye Touré and Amadou Yalla Camara and Nze Obiang Pascal Christian and Almamy Bangoura and M'mah Lamine Camara and Donamou Joseph},
  title = {Anesthesia for Extraction of a Bronchial Foreign Body in a Three-Year-Old Child About a Case at the CHU Ignace Deen in Conakry},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {1},
  pages = {19-22},
  doi = {10.11648/j.ijacm.20231101.14},
  url = {https://doi.org/10.11648/j.ijacm.20231101.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231101.14},
  abstract = {Introduction: Foreign body inhalation (FB) is a medical-surgical emergency and a frequent cause of respiratory distress in children. Multidisciplinary management combining ENT surgeon and anesthetist-resuscitator. Rigid or flexible bronchoscopy under general anesthesia in total or inhaled intravenous allows the diagnosis and the extraction of the foreign body. The rarity and seriousness of the inhalations seem to us to justify their publication. We report the journey of a case of inhalation of a foreign body consisting of a 6 centimeter point, the extraction of which was only possible thanks to a bronchoscope associated with a Quick air. Observation: this is a child of three in a particular ATCD from 132 km from the capital for inhalation of a foreign body for several days, after passing through two health structures for extraction without success for lack of a specialist. The child is admitted to the CHU Ignace Deen. The clinical, radiographic examination of the thorax revealed a rectilinear opacity of approximately 6 cm next to the right main bronchus. The indication for extraction under general anesthesia was raised. The first attempt at D12 inhalation with a rigid bronchoscope ended in failure. The second attempt two weeks later under inhalation anesthesia with halothane using a rigid bronchoscope associated with Quick air enabled the successful extraction of a tip of approximately 6cm. The immediate evolution was simple. Conclusion: the anesthesia of the child for inhalation of foreign body is a real challenge for the anesthesiologist-resuscitator. The choice of induction technique can be intravenous or inhalation with preservation of spontaneous ventilation. The rigid bronchoscope associated with the Quick air allowed the extraction.},
 year = {2023}
}

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