Endoscopic retrieval of a fish bone. Is there anything you would do differently?

I would prep my fish more carefully. I would call ENT. I would hold my breath while doing it - it's only fair if the patient is also doing it

I can’t imagine myself being that still - no moving, no coughing, nothing! Either the patient deserves a medal or they used industrial quality throat spray 😅

I'd luxate its position to prevent it from ripping the gullet on the way out

Quick opportunity to go over pharyngeal landmarks 😝

I call ENT during the procedure. IMO No reason to mess with it using endoscopic forceps. ENT tools work better in the hypopharynx.

Is this the Px?

not place it right in fromt of the airway and then let it go to change the grip ?

I don’t think the endoscopist realised it was embedded into the posterior wall of the hypopharynx. In fact it was lucky that it was, otherwise would have needed bronchoscopy 😬

1) airway protection 2) fish bone have sharp ends, gets lodged in and are associated with microperforations. This can lead to delayed mediastinitis. Empiric oral antibiotic is not a bad idea.

Orotracheal intubation!!!!

The anaesthetist 😅