Vagal Reflex Stimulation Complicating Retrieval of An Unusual Foreign Body From The Laryngotracheal Lumen: Case Report.
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Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
Published by Society of Egyptian Anaesthesiologists
Abstract
Foreign body impaction in the aero digestive tract is a life-threatening emergency, particularly
in the paediatric age group. Removal under general anaesthesia poses both surgical and
anaesthetic challenges and this may rarely result in mortality. We report a case of a 4 year old
boy with an unusual foreign body (FB) impacted in the laryngotracheal causing difficult intubation
and precluding tracheostomy with attendant vasovagal reflex stimulation and cardiac arrest. Clinical
presentation and radiological evaluation of the patient were highlighted with a review of pertinent
literature. We conclude that dis-impacting a foreign body in the trachea could potentiate
bradycardia and cardiac arrest; co-existing hypercarbia and/or sepsis increase the risk and worsen
the prognosis.
Description
Vagal Reflex Stimulation Complicating Retrieval of An Unusual Foreign Body From The Laryngotracheal Lumen: Case Report.
Keywords
Vasovagal reflex;, Foreign body;, Aero-digestive tract;, Tracheostomy
Citation
Omokanye HK, Alabi BS, Ige OA, Afolabi OA, Omotosho W, Iyanda NO, Ologe FE (2015): Vagal Reflex Stimulation Complicating Retrieval of An Unusual Foreign Body From The Laryngotracheal Lumen: Case Report. Egyptian Journal of Anaesthesia. 32: 237–240.