Vagal reflex stimulation complicating retrieval of an unusual foreign body from the laryngotracheal lumen: Case report

We report a case of a 4year 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.
Source: Egyptian Journal of Anaesthesia - Category: Anesthesiology Source Type: research