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Year : 2003  |  Volume : 8  |  Issue : 1  |  Page : 27-29

Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal

1 Department of Otolaryngology, University of Nigeria Teaching Hospital, Enugu-, Nigeria
2 Department of Anaesthesia, University of Nigeria Teaching Hospital, Enugu-, Nigeria

Correspondence Address:
B C Ezeanuolue
Department of Otolaryngology, University of Nigeria Teaching Hospital, Enugu
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Source of Support: None, Conflict of Interest: None

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Aim: To highlight the clinical profile of foreign body aspiration in children seen in a clinic in Enugu and the technique of rigid bronchoscopic removal of these foreign bodies under general anaesthesia. Method: The study was retrospective. The anaesthetic pre-medication was to give intravenous atropine 0.01mg/kg body weight. Anaesthesia was induced with intravenous dose of ketamine 2.0mg/kg and midazolam 0.1mg/kg body weight, and followed with a bolus dose of suxamethonum 1mg/kg. An appropriate sized rigid respiratory bronchoscope assembly was inserted into the trachea. Patient was ventilated manually and bronchoscopic removal of foreign body done. Results: They were 19 males and 11 females, with an average age of 1.6years. Groundnut was the most commonly recovered foreign body in 19(63%) patients. The right main bronchus was the commonest site of impaction in 10(33%) patients. No foreign body was recovered in 4(13.3%) patients. Two patients (6.6%) died from severe acute pulmonary oedema. Conclusion: Foreign body aspiration is a persistent life-threatening problem among Nigerian children. We recommend that children below the age of 4 years should not be fed Whole groundnuts.

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