Voulgarelis Stylianos, Stucke Astrid
Department of Anesthesiology, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA.
Saudi J Anaesth. 2021 Jan-Mar;15(1):56-58. doi: 10.4103/sja.SJA_867_20. Epub 2021 Jan 5.
Aspiration and ingestion of foreign bodies present a frequent challenge in pediatric anesthesia practice that requires careful planning of the time and the method of retrieval. We discuss the management of a 20-month-old boy who had ingested multiple small magnetic beads and presented emergently to the operating room with two beads lodged in the vallecula and eighteen more forming a chain in the stomach. Benefitting from their magnetic properties, the beads located close to the glottic entrance could be removed by placing a steel Magill forceps close to the objects and using magnetic pull rather than grasping. The beads in the stomach were removed en bloc due to their magnetic properties using an endoscopic retrieval basket. Small beads can be difficult to remove, however, in this case it was possible to utilize their magnetic properties during the removal process.
异物误吸和误食是儿科麻醉实践中经常面临的挑战，这需要对取出异物的时间和方法进行仔细规划。我们讨论了一名20个月大男孩的治疗情况，他吞食了多个小磁珠，并紧急送往手术室，其中两个磁珠嵌顿在会厌谷，另有18个在胃内形成一条链状。由于靠近声门入口的磁珠具有磁性，可通过将钢制麦氏钳靠近异物并利用磁力吸引而非抓取的方式将其取出。胃内的磁珠因其磁性，使用内镜取出篮整块取出。小磁珠可能难以取出，然而在这种情况下，在取出过程中能够利用它们的磁性。
