Chest Percussions and Saline Lavage in Rescue of Bronchoscopy for Retrieving Fragile Foreign Body Bronchus in a Child

Foreign body (FB) aspiration is a leading cause of morbidity and mortality among young children [1]. Peanuts, seeds, coins, battery cells and small toy parts are the commonly aspirated objects [2]. Asphyxiation, complete airway obstruction and death can occur in case of entrapment at proximal locations. The descending order of incidence for the location of aspirated FBs is in the right main bronchus, followed by the right lobar bronchi, left bronchi, trachea/carina, larynx respectively [3]. Several anesthetic challenges and risks exist in children with aspirated foreign bodies, owing to their fragile cardiopulmonary status and the small airway being shared for both anesthesia and bronchoscopy.