Conclusions

We report the safe and prompt removal of a coin lodged in the upper esophagus of a child using a video laryngoscope and Magill forceps. By providing the operator and the supervising physician with the same clear operative view in real time, the video laryngoscope allowed accurate intraoperative guidance without interrupting the procedure and appeared to support the performance of an operator without prior experience in this technique. This case suggests the potential applicability of a structured educational sequence, consisting of a pre-procedural briefing, shared video-laryngoscopic visualization, and post-procedural debriefing, to an uncommon pediatric emergency procedure such as upper esophageal foreign body removal. Further studies are needed to evaluate the educational and clinical effectiveness of these strategies.