A modified bag-valve-mask positive-pressure technique for removal of nasal foreign bodies in young children: a retrospective study from a rural pediatric practice

Sandip M. Kisave

doi:10.18203/2349-3291.ijcp20263262

Authors

Sandip M. Kisave Department of Pediatrics, Mahavir Institute of Medical Sciences, Vikarabad, Telangana, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20263262

Keywords:

Nasal foreign body, Bag-valve-mask, Positive pressure, Children, Pediatric emergency, Rural practice

Abstract

Background: Nasal foreign bodies are common in young children, and their removal can be difficult because of fear, distress, and poor cooperation. Positive-pressure techniques provide a non-instrumental alternative, but conventional approaches may require direct mouth-to-mouth contact.

Methods: This retrospective, single-center chart review included 28 consecutive children aged 1-5 years with clinically diagnosed, anteriorly located nasal foreign bodies treated at a rural pediatric outpatient and emergency setting. A modified bag-valve-mask (BVM) technique was used to deliver a brief, controlled positive-pressure puff through the mouth while the contralateral nostril was occluded. Children were observed for at least 30 minutes.

Results: Successful removal was achieved in 26 of 28 children (92.9%; 95% CI=77.4-98.0%). Among successful cases, 22 of 26 (84.6%; 95% CI=66.5-93.9%) were successful on the first attempt. No major complications were recorded during the procedure or observation period.

Conclusions: In this single-operator, single-center pilot series, the modified BVM technique achieved a high removal rate for anteriorly located nasal foreign bodies using equipment commonly available in rural clinical settings. Larger, multicenter comparative studies with standardized pressure protocols are required before broader clinical adoption.

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