SAFETY PIN REMOVAL BY RIGID BRONCHOSCOPY скачать в хорошем качестве

SAFETY PIN REMOVAL BY RIGID BRONCHOSCOPY

19 year old boy presented to emergency with history of aspiration of safety pin 5 days back. Clinical examination was normal. Chest – Xray revealed a open safety pin seen in right bronchus intermedius and extending downwards and was further confirmed by right lateral view chest x-ray. After written informed consent , rigid bronchoscopy under general anaesthesia was done and open safety pin was seen in right bronchus intermedius. With help of optical biopsy forceps , the sharp end was tried to grasp. Multiple attempts to grasp the sharp end failed as it was embedded with granulation tissue. Then the blunt end was grasped by optical biopsy forceps and then retrieved into the rigid barrel. The entire assembly of rigid bronchoscopy barrel and open safety pin grasped by optical biopsy forceps was removed and patient was reintubated with a 8” flexible endo-tracheal tube. A check fibre-optic bronchoscopy was done. Then patient was extubated after reversal of anaesthesia and was shifted to observation room