Aspiration of a Blister Pack Tablet with Tracheal Obstruction and Perforation: Emergency Tracheal Repair with Extracorporeal Membrane Oxygenation Support.

Autor: Schweigert M; Department of Surgery, University Hospital Schleswig-Holstein, Luebeck, Germany., Parschke P; Department of Pulmonology, University Hospital Schleswig-Holstein, Luebeck, Germany., Almeida AB; Department of Surgery, University Hospital Schleswig-Holstein, Luebeck, Germany., Kellner P; Department of Anesthesia and Intensive Care, University Hospital Schleswig-Holstein, Luebeck, Germany.
Jazyk: angličtina
Zdroj: The Thoracic and cardiovascular surgeon reports [Thorac Cardiovasc Surg Rep] 2023 Nov 02; Vol. 12 (1), pp. e57-e59. Date of Electronic Publication: 2023 Nov 02 (Print Publication: 2023).
DOI: 10.1055/s-0043-1776110
Abstrakt: Background  Airway management in case of acute tracheal injury is a challenging situation where the use of Extracorporeal Membrane Oxygenation (ECMO) has recently gained more importance. Case Description  We report the case of a 60-year old women with aspiration of a large blister pack tablet causing acute tracheal obstruction with asphyxia as well as tracheal perforation with tension pneumothorax. As bronchoscopy failed to retrieve the blister pack, emergency tracheal reconstruction with Extracorporeal Membrane Oxygenation (ECMO) support was carried out. Conclusion  The application of ECMO instantly alleviated the acute situation and provided excellent conditions for technically demanding emergency tracheal repair.
Competing Interests: Conflicts of Interest None declared.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE
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