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Updated: Jul 16, 2026

11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Delayed presentation of paediatric tracheal foreign body
Simon J Davis1, Gerry Madden, Denise Carapiet
1Department of Otorhinolaryngology, Portsmouth NHS Trust, Cosham Hill, Cosham, Portsmouth, PO6 3LY, UK. sd4166@hotmail.com
Summary
A child
Area of Science:
- Pediatric Pulmonology
- Pediatric Airway Foreign Bodies
- Pediatric Emergency Medicine
Background:
- Foreign body aspiration is a common pediatric emergency.
- Delayed diagnosis can lead to significant morbidity.
Observation:
- A 21-month-old child presented with exertional wheezing after a choking episode.
- A plastic foreign body with a central lumen was lodged in the mid trachea.
Findings:
- Bronchoscopy successfully retrieved the tracheal foreign body.
- The lumen in the foreign body allowed partial ventilation, delaying presentation.
Implications:
- Highlights the importance of thorough patient history in diagnosing airway foreign bodies.
- Underscores the need for prompt bronchoscopy in suspected cases.
- Informs anesthetic management for foreign body removal procedures.
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