Foreign Body Cricopharynx Causing Airway obstruction... Challenge for Ananaesthesiologist

Background: Common Foreign Body at cricopharynx are coins, peanut, chicken bone, fish, bone, jewellery, metal parts and plastic parts. Foreign Body at cricopharynx appearsless dangerous than those in the respiratory passage but they are potential threat to the airway. Here we present a case of pointed, slender, sharp, shaped Foreign Body at cricopharynx of a toddler leading to airway obstruction during laryngoscopy and it successful management.

Case presentation: 3 years old male child of weight, 12kg brought by parents with chief complaints of ingestion of foreign body (sharp metallic foreign body) 8hrs before taken inside OT. Drooling of salivasince 7hrs, On asking mother also complains of change in voice, Difficulty in breathing on lying down position which relieves on propped up position and complaining of Gagging. In the pre-operative evaluation, vitals stable, chest was clear. We did this patient under general anaesthesia, during intubation CVCI condition ensued, so considering risk benefit ratio foreign body removal was done by anaesthesiologist. Conclusions: Senior anaesthesiologist should always be available for all Foreign Body removal. If Foreign Body is seen at the time of laryngoscopy it should be removed first after considering risk benefit ratio … Anaesthesiologists Foreign Body. Call for help at right time is very important.