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Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
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Table of Contents
LETTER TO EDITOR  
Year : 2013  |  Volume : 16  |  Issue : 2  |  Page : 160
Whistling from deep within!


1 Department of Anesthesiology, Indira Gandhi Institute of Medical Sciences, Patna, India
2 Department of Otorhinolaryngology, Indira Gandhi Institute of Medical Sciences, Patna, India

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Date of Web Publication29-Mar-2013
 

How to cite this article:
Dubey PK, Singh RK. Whistling from deep within!. Ann Card Anaesth 2013;16:160

How to cite this URL:
Dubey PK, Singh RK. Whistling from deep within!. Ann Card Anaesth [serial online] 2013 [cited 2019 Sep 22];16:160. Available from: http://www.annals.in/text.asp?2013/16/2/160/109783


The Editor,

Aspiration of a plastic whistle can give rise to a variety of respiratory symptoms, but whistling sound during inspiration is uncommon. [1] A 13-year-old male presented with complaint of non-productive cough and a history of aspirating a plastic whistle three weeks before. Normally, a whistle is blown by blowing out into it. This boy had put the whistle in his mouth in reverse, and tried to produce the sound by sucking air through it resulting in aspiration. Interestingly, a whistling sound was heard during forceful inspiration. On auscultation, crackles were heard over right lower chest. Chest X-ray was normal but computed tomography scan [Figure 1] revealed the plastic whistle lodged in the right main bronchus. Whistling sound with inspiration suggests that the whistle is lodged in a major airway and none of its end is lying against airway wall or blocked by mucus allowing passage of enough air to produce the sound. If the whistle is in the trachea, it will require less effort to produce a sound as compared to the effort required to produce the same sound if it were stuck more distally in the bronchus. The whistle was taken out by rigid bronchoscopy under general anesthesia. Such an impaction can lead to various complications like lung collapse if the whistle lumen gets blocked due to mucus and an early removal of such an impaction should be done to avoid an emergency.
Figure 1: Arrow showing a plastic whistle (inset) lodged in the right main bronchus

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   References Top

1.Tariq SM, George J, Srinivasan S. Inhaled foreign bodies in adolescents and adults. Monaldi Arch Chest Dis 2005;63:193-8.  Back to cited text no. 1
    

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Correspondence Address:
Prakash K Dubey
Eľ, IGIMS Campus, Sheikhpura, Patna - 800 014
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.109783

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