Extubation failure: Upper airway obstruction by chewing gum. A case report.

Autor: Gonzalez-Anton D; Trauma and Surgical Intensive Care Unit, Emergency Unit, Bordeaux Universitary Hospital, Bordeaux, France. Electronic address: thomas.gallice@chu-bordeaux.fr., Gallice T; Neurologic Intensive Care Unit and Neurosurgery Unit, Bordeaux Universitary Hospital, Bordeaux, France., Borges Da Silva A; Trauma and Surgical Intensive Care Unit, Emergency Unit, Bordeaux Universitary Hospital, Bordeaux, France., Carrié C; Trauma and Surgical Intensive Care Unit, Emergency Unit, Bordeaux Universitary Hospital, Bordeaux, France.
Jazyk: angličtina
Zdroj: Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim (Engl Ed)] 2024 Oct; Vol. 71 (8), pp. 619-622. Date of Electronic Publication: 2024 Feb 09.
DOI: 10.1016/j.redare.2024.02.006
Abstrakt: Extubation failure can result from different complications, mostly well described in the literature such as laryngeal edema. Airway obstruction by foreign bodies is a less frequent and unexpected complication and its detection remains a challenge to healthcare professionals. In this case-report, we describe a patient admitted in an intensive care unit following a motor vehicle accident and who underwent an extubation failure and tracheostomy placement due to a misdiagnosed obstruction of a foreign body in the upper airway. Thus, screening of foreign bodies should be considered with a careful interpretation of medical imagery and clinical evaluation in these patients. Finally, cuff leak test, ultrasonography and videolaryngoscopy can be important adjuvants to the identification of suspected foreign bodies.
(Copyright © 2024. Publicado por Elsevier España, S.L.U.)
Databáze: MEDLINE
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