Accidental aspiration of a foreign body in the airway during anesthetic management

a case report

Abstract

Introduction: Accidental aspiration of a foreign body into the airway during anesthetic management is a rare but potentially serious complication. This event can occur during airway manipulation, especially when using devices for topical anesthesia, intubation, or ventilation, resulting in airway obstruction and significant risk to the patient. Immediate identification and appropriate management are essential to avoid complications. Case report: A 38-yearold female patient, ASA II, underwent bodytite liposuction and miniabdominoplasty. During periglottic anesthesia with lidocaine using an atomizer (Mucosal Atomization Device), the tip of the device came loose and was aspirated into the trachea. An initial attempt to remove it with an orotracheal tube was unsuccessful. Flexible bronchoscopy was performed, which allowed the location and safe removal of the foreign body on the first attempt. After the procedure, the patient was reintubated, the surgical procedure was uneventful, and the patient had an uneventful postoperative period. Discussion: Iatrogenic foreign body aspiration during anesthetic management is a highrisk situation. This case reinforces the importance of rigorous inspection of devices before use, in addition to the need to prepare the team for emergency airway situations. The prompt use of bronchoscopy was essential for the effective resolution of the event, preventing major complications. Safety protocols and review of medical devices are fundamental strategies for prevention.