Abstract:
The management of complications due to foreign body (FB) aspiration in children is challenging
and sometimes it requires thoracic surgery. It is up to the anesthesiologist then to think
of creative solutions for one lung ventilation (OLV). Airway FB aspiration is more common in
younger children under three years of age and usually the FB is of organic nature. We present a
case of OLV in an eight year old boy undergoing thoracotomy, after developing a clinical picture
of severe complications as a result of a Christmas tree light bulb aspiration in the bronchi of
the right lower lobe. Strategic planning of anesthesia and the availability of Right-sided Double
lumen tube of the smallest size 26 F for right thoracotomy were decisive in managing the airway
intra-operatively and successful removal of the FB.
