• Kenneth N Hiller and Carin A Hagberg.
• Assistant Professor, Department of Anesthesiology, The University of Texas Medical School, Houston, TX, USA. Electronic address: hillerk2@yahoo.com.
• J Clin Anesth. 2016 Aug 1; 32: 4-6.

AbstractInitial management of ingested esophageal foreign bodies involves airway assessment, determination of the requirement for and timing of therapeutic intervention, risk mitigation during removal, and identification of all indicated equipment for retrieval. Long, sharp-pointed objects lodged in the esophagus require emergent attention and should be retrieved endoscopically, if perforation has not occurred. Inducing general anesthesia and rapidly securing the airway can minimize the risk of aspiration, mitigate any effects of tracheal compression, avoid the potential of exacerbating existing trauma, and provide optimal conditions for removal of long, sharp-pointed esophageal foreign bodies. Video laryngoscopy provides improved recognition of anatomical structures in both normal and difficult airways, enabling assessment for hypopharyngeal and glottic trauma resulting from foreign body ingestion. The indirect view of video laryngoscopy also facilitates the coordinated manipulation of the airway by both the anesthesiologist and the surgeon as they visualize the anatomy together while securing the airway and removing the foreign body.Copyright © 2016 Elsevier Inc. All rights reserved.

15 keywords...

hide…