In dealing endoscopically with foreign bodies lodged in the larynx, trachea, bronchi or esophagus, it is fundamentally necessary to remember that the problem is not simply to remove the foreign body but to remove it with little or no risk to the patient. It is always necessary to remember that a patient is far safer with a foreign body in his air or food passages than he would be if the intruder were ruthlessly torn out at all hazards. Ruthless withdrawal is comparable to the act of the ignorant farmer who hitches a team of horses to the malpresented calf. Only in the rarest instances is immediate removal necessary, and it is far better to desist at once if at the first bronchoscopy it is found that special instruments will need to be devised to remove the intruder. On the other hand, it is never wise to make the first
JACKSON C. MECHANICAL PROBLEMS OF BRONCHOSCOPIC AND ESOPHAGOSCOPIC FOREIGN BODY EXTRACTION. JAMA. 1917;LXVIII(4):245–250. doi:10.1001/jama.1917.04270010245004
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