AGREEMENT has not yet been reached regarding the treatment of foreign bodies of the airway in infants.1-3 The smaller the child, the greater the technical difficulties and frequency of complications arising from removal of foreign bodies. The reduced tolerance of infants and their particular susceptibility to anoxia requires careful bronchoscopy with delicate manipulation of instruments.
Our bronchological experience in childhood are based on more than 3,000 bronchoscopies and over 1,000 bronchographies in children ranging from under 1 year to 14 years of age during a ten-year period. Some 1,800 bronchoscopies have been performed with intravenous barbiturate narcosis and succinyl muscle relaxation, including about 200 infants, the youngest being 4 days of age.4-6 Both the barbiturate narcosis and succinyl muscle relaxation were well tolerated by all the infants and the respiratory depressive action of the barbiturates was balanced by continuous oxidation. This method of anesthesia proved to be safe
Kallay F, Hirschberg J, Csermely G. Treatment of Airways With Foreign Bodies in Infants. Arch Otolaryngol. 1968;88(3):303–306. doi:10.1001/archotol.1968.00770010305019