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Korean J Crit Care Med > Volume 28(3); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(3): 201-203. doi: https://doi.org/10.4266/kjccm.2013.28.3.201
신생아에게 발생한 우측 기관지 내 이물질 제거
이현수ㆍ신상욱ㆍ백승훈ㆍ김혜진ㆍ이선재ㆍ백승완
부산대학교 의학전문대학원 마취통증의학교실
Foreign Body Removal at Right Main Bronchus in A Neonate
Hyun Su Ri, Sang Wook Shin, Seung Hoon Baek, Hyae Jin Kim, Sun Jae Lee, Seong Wan Baik
Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Busan, Korea. shinsw@pusan.ac.kr
ABSTRACT
Foreign body in the airway could be a life-threatening risk, especially for young pediatric patients. A 6-day old male patient with foreign body, which was located deep in the right main bronchus was being admitted. Although we tried three times to remove it with rigid bronchoscopic forceps under the general anesthesia, we failed. Before switching to surgical treatment, we changed the Trendelenburg position and tapped his back several times in order to alter the foreign body toward the forcep. Finally we were able to catch and extract the foreign body successfully. We suggest that back percussion with the Trendelenburg position is a useful solution to remove a foreign body within a deep airway.
Key Words: back percussion; bronchial foreign body; posture
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