Anesthetic management for nasal foreign body removal in children

: Migration of a foreign body into the nasal cavity accidentally occurred in three children aged 2 yr. All procedures for removal were performed under general anesthesia. Two patients underwent slow anesthetic induction with sevoflurane and their tracheas were intubated under spontaneous breathing without neuromuscular blocking agents. One patient underwent rapid sequence induction with cricoid pressure to prevent aspiration. Anesthetic courses of the three patients were stable, and the foreign bodies were successfully removed without any complications. Since a nasal foreign body can cause occurrence of its aspiration into the trachea due to crying or reduction of muscle tone, special attention should be paid for safe management of the airway and/or anesthesia throughout the procedure.