Operation Theatre Procedure Awareness for an Anaesthesiologist
It’s been a well-known fact that anaesthetist and surgeon work as a team for the betterment for the patient. There are various situations where anaesthetists have provided the lifesaving suggestions to the surgeon in a crux situation. Airway manipulative procedures are a difficult situation for the anaesthetists and surgeon both as the working field is same; so the time is the limiting factor in these cases because more is the time taken more are the chances for hypoxic episodes. Distally located lower respiratory tract foreign body removal especially in pediatric cases are tricky situations and are the most challenging and time consuming. In these cases there are various incidences where the results are not positive because of some or other reason and the patient ends up in thoracotomy procedure. In this article we intend to discuss an interesting case where an anesthetist’s knowledge of different procedures & instruments in the operation theatre results in a success of nearly failed procedure.
Removal of a tracheal or bronchial foreign body is a common emergent surgical procedure in infants and children. The anesthetic management can be challenging and has been described. Organic Foreign body removal from lower respiratory tract of pediatric patients poses a great challenge to the surgeon as organic foreign bodies swell up and obstruct the bronchial passage. Distal lower respiratory tract foreign bodies are the most-tricky ones, sometimes posing the greatest challenge and leading to failure of the procedure subsequently leading to thoracotomy. We report our experience where a nearly failed procedure which was converted to a successful foreign body removal because of an interesting suggestion by a senior anaesthetist to the surgeon.
An 8 month old male child came in emergency room with the history of intermittent cough and according to the Relatives there is history of ingestion of groundnut. Patient was afebrile with pulse rate of 122/ min; respiratory rate of 24/min and saturation at room air of 95%-96%. He has decreased air entry in the base of lung in left side.
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Anesthesiology Case Reports