(1) To study the presenting complaints or complaints suggestive of foreign bodies in the tracheobronchial tract. (2) To study the clinical findings. (3) To study the correlation between clinical and radiological findings. (4) To study different types of foreign bodies. (5) To study the complications caused by foreign bodies. A total of 115 patients presenting with foreign body aspiration in the tracheobronchial tract were included in the study. Patient characteristics, history, clinical, radiographic and bronchoscopic findings were noted. Foreign bodies in trachea and bronchus were removed by rigid bronchoscopy under general anaesthesia. Jackson rigid bronchoscope with a fibre optic light source and venturi technique anaesthesia was used. In the present study, foreign body aspiration was found to be maximum in the 1-3 year old age group. The average time lapse between aspiration of symptoms and presentation was found to be 1-3 days. Positive history was given in only 68% cases. Cough and breathlessness were the most common presenting symptoms. The commonest clinical signs were decreased chest movement and air entry on the affected side. Collapse of the affected side was the most common radiological finding. The commonest site of impaction was the right main bronchus. Majority of the foreign bodies were vegetative, peanut being the most common. The commonest complication following foreign body aspiration was atelectasis of the affected lung. Successful removal of foreign bodies was possible in all the patients. In paediatric respiratory compromise, the presence of unilateral diminished breath sounds, a pathological chest X-ray and a clinical triad of cough, choking and wheezing, is a powerful indicator of tracheobronchial foreign body aspiration. Since no single or combined variables can predict foreign body aspiration with full certainty, bronchoscopic exploration must be performed if tracheobronchial foreign body aspiration is suspected.

Introduction: All patients posted for surgery are subjected to a series of tests. Recent studies have shown that many of these tests may not be necessary as they do not alter the anaesthetic technique. There are many international guidelines for ordering preoperative investigations. Aim: To determine the proportion of patients who underwent compliant testing and to identify the most common investigations which were not compliant with National Institute for Health and Care Excellence (NICE) guidelines. Materials and Methods: The study was a prospective observational study conducted on all patients undergoing elective surgery at Sri Devaraj Urs Medical College and RL Jalappa hospital, Kolar, Karnataka, India, from May 2022 to July 2022. The grade of surgery and the American Society of Anaesthesiologists (ASA) Physical Status of the patients was noted. The compliance of the tests with NICE guidelines was noted. Results: The preoperative investigations were done in 60 adult patients undergoing elective surgery. Renal function tests were the tests which were the most non compliant (60%) as per NICE guidelines. ECHO, Thyroid function tests and ECG were compliant in 78.3%, 91.7% and 60% of the patients, respectively. Conclusion: The tests which were most non compliant were coagulation profile and renal function tests. Further studies have to be done to check compliance with our Indian guidelines.