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Anesthesia for penetrating injury of the oropharynx in a child: a case report

Background Penetrating injury of the oropharynx occurs frequently in children, however, anesthetic management is seldom described in such cases. Case presentation A 2-year old child came to the emergency room with a toothbrush impacted in the gingivobuccal sulcus making airway management difficult....

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Published in:Ain-Shams journal of anesthesiology 2023-05, Vol.15 (1), p.25-4, Article 25
Main Authors: Bhandari, Pallav, Kapoor, Ruchi, Chaudhary, Sujata, Lakshmi, R
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Kapoor, Ruchi
Chaudhary, Sujata
Lakshmi, R
description Background Penetrating injury of the oropharynx occurs frequently in children, however, anesthetic management is seldom described in such cases. Case presentation A 2-year old child came to the emergency room with a toothbrush impacted in the gingivobuccal sulcus making airway management difficult. We used a simple yet unique approach to secure the airway safely given the lack of pediatric size fibreoptic and videolaryngoscopes in our emergency operation theatre. The patient was kept in Pediatric ICU and watched for any complications and discharged on the 4th postoperative day. Conclusions Thus, ingenious non-invasive techniques to secure the airway can prevent the patient from undergoing surgical tracheostomy.
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subjects Airway management
Anesthesia
Anesthesiology
Carotid arteries
Case Report
Case reports
Consent
Cooperation
COVID-19
Critical Care Medicine
Emergency medical care
Fibreoptic
Foreign bodies
Gingivobuccal sulcus
Hypoglycemia
Injuries
Intensive
Medicine
Medicine & Public Health
Nitrous oxide
Ostomy
Pediatrics
Surgeons
Surgery
Thrombosis
Toothbrush
Toothbrushes
Tracheotomy
Veins & arteries
Ventilators
Videolaryngoscope
title Anesthesia for penetrating injury of the oropharynx in a child: a case report
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