Original Research Article
Year: 2020 | Month: July | Volume: 7 | Issue: 7 | Pages: 301-306
Managing Aspirated Foreign Body and Use of Dormia Basket in Paediatric Population - Single Tertiary Care Center Experience
Pranay Panigrahi1, Manas R Dash2, Parida P3, Mohanty PK4, Jena PK4
1Senior Resident, 2Assistant Professor,
Dept. of Paediatric Surgery, MKCG MCH, Brahmapur , Odisha-760004
3Consultant, 4Professor,
Dept. of Paediatric Surgery, SVPPGIP, Cuttack, Odisha- 753002
Corresponding Author: Manas R Dash
ABSTRACT
Aim: Foreign body (FB) in respiratory tract is an emergency and require more urgent intervention in paediatric population. At some instances, bronchoscopic removal of FB with optical forceps gets cumbersome. These conditions create a life-threatening & point of no return scenario. We present some of difficult scenario and peculiar type of FBs with alternative methods of extraction.
Patients and Methods: This is a retrospective case review of patients presenting to paediatric emergency with airway FB. All patients had a chest X-ray done before the procedure. Rigid bronchoscopy under general anaesthesia was performed in all patients for retrieval. Dormia basket was used in some cases.
Results: A total of 28 patients (nine girls) were successfully intervened and FB removed. The age ranged from 2.5 to 8 years (mean 4 years). Bronchoscopic removal was aided by dormia basket. FB in 21 cases out of 28 cases were organic or vegetative matter. Complete removal was achieved in all patients including tracheostomy in three of them.
Conclusions: We recommend that dormia basket should be considered as a partner gadget to optical forceps in a bronchoscopy set. The use of this alternative method was successful and allowed ventilation during the removal of FB in contrast to removal by forceps. This should be kept as an option if retrieval is difficult.
Keywords: Airway, foreign body, bronchoscopy, endoscopic, pediatric, dormia
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