Head and Neck Q2

A 3-year-old boy is brought to A&E by worried parents who witnessed a choking episode 2 hours ago followed by noisy breathing. Apart from an audible wheeze and cough, physical examination and observations are unremarkable. An anteroposterior chest radiograph shows a small circular radio-opaque foreign body with a halo. 

Which of the following is the best next step in the management of this patient?

  • A) Urgent removal under general anaesthetic (rigid bronchoscopy)
  • B) Urgent removal under general anaesthetic (Magill forceps)
  • C) Urgent removal under general anaesthetics (oesophagoscopy)
  • D) Diazepam
  • E) Back blow