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Tension Pneumothorax During Rigid Bronchoscopy for Chronic Foreign Body Removal in a Child: A Case Report

Akshay Kumar1, Nimisha Shiwalkar2, Hunain Aslam3

  • 1Cardiothoracic Surgery, Lokmanya Tilak Municipal Medical College & General Hospital, Mumbai, IND.

Cureus
|November 9, 2019
PubMed

Insights

Rigid bronchoscopy for foreign body removal can lead to rare tension pneumothorax. A child’s cardiac arrest during the procedure was managed with chest tube insertion, preventing brain damage.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Rigid bronchoscopy is a common procedure for pediatric foreign body removal.
  • Complications, though rare, can be severe, including tension pneumothorax and cardiac arrest.
  • Prompt recognition and management are crucial for patient outcomes.

Observation:

  • A two-year-old child undergoing rigid bronchoscopy for a chronic foreign body experienced sudden cardiac arrest.
  • The event was attributed to a rare complication of tension pneumothorax.
  • Immediate chest tube insertion was performed.

Findings:

  • The timely intervention of chest tube insertion successfully resolved the tension pneumothorax.
  • Effective communication and integrated team response were vital in managing the emergency.
  • Neurological sequelae from hypoxic ischemic encephalopathy were averted.

Implications:

  • Highlights the critical importance of preparedness for rare but life-threatening complications during rigid bronchoscopy.
  • Emphasizes the role of rapid response and interdisciplinary collaboration in pediatric emergencies.
  • Underscores the need for advanced airway management skills in managing foreign body retrieval complications.

Keywords:
imagingintensive careintercostal tuberespiratoryresuscitationrigid bronchoscopytension pneumothoraxtracheobronchial foreign body

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