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Bronchoscopic removal of bronchial foreign bodies through the laryngeal mask airway in pediatric patients
Authors:Takashi Hirai  Akira Yamanaka  Toshio Fujimoto  Miharu Shiraishi  Tadashi Fukuoka
Institution:1. Department of Chest Surgery, Fukui Red Cross Hospital, 2-4-1 Tsukimi, 918-8501, Fukui, Japan
2. Department of Anesthesiology, Fukui Red Cross Hospital, Fukui, Japan
Abstract:The laryngeal mask airway was used to perform fiberoptic removal of bronchial foreign bodies (peanuts) in two pediatric patients. Laryngeal mask airway offers easy access to the airway, safe respiratory management and direct visualization of the airway during bronchoscopic procedures. Laryngeal mask airway allows the use of larger bronchoscopes than can usually be used for children when bronchoscopy is performed through an endotracheal tube. In each case, the peanuts were removed safely and easily using a Fogarty catheter through the fiberoptic bronchoscope. These cases suggest that laryngeal mask airway is useful in maintaining a secure airway during the removal of bronchial foreign bodies in children.
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