Extracorporeal life support-assisted airway foreign body extraction in an infant: The story of Indian Esperanza, first reported case from India
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Abstract
Introduction: Airway foreign body (FB) aspiration in children under the age of three years can be life-threatening. Large airway FB may cause acute airway obstruction requiring immediate intervention. Airway FB extraction carries significant risk to the patient, particularly when the FB are large and or impacted. In cases where the FB cannot be removed, this may result in morbidity and catastrophic events such as cardiac arrest, hypoxic injury or even mortality.
Methods: We report a case of airway obstruction caused by an aspirated chicken bone in an 11-month-old infant. The FB was successfully extracted with the use of extracorporeal membrane oxygenation (ECMO) to maintain oxygenation during the procedure.
Results: Successful removal of the FB was achieved without any significant hypoxia once the patient was placed on ECMO.
Conclusion: Early initiation of ECMO in cases involving large or impacted FB should be considered, especially if there is a perioperative risk of hypoxia due to difficult removal or prolonged procedure. A multidisciplinary team approach clearly has an impact on the outcomes in such cases.
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