Undiagnosed chicken meat aspiration as a cause of difficult-to-ventilate in a boy with traumatic brain injury
| Autor: | Praveena Seevaunnamtum, Mohamad Hasyizan Hassan, Mohd Zulfakar Mazlan, Praveena A, Sanihah Che Omar, Chandran Nadarajan, Kamaruddin Jaalam, Mohd Erham Mat Hassan, Shamsul Kamalrujan Hassan, Irfan Mohamad, Wan Fadzlina Wan Muhd Shukeri, Nazhan Afeef Mohd Ariff, Nik Abdullah Nik Mohamad |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Traumatic brain injury medicine.medical_treatment Context (language use) Case Report law.invention 03 medical and health sciences 0302 clinical medicine Chicken meat Bronchoscopy law medicine Intubation 030212 general & internal medicine lcsh:RC705-779 Acute hypoxemic respiratory failure medicine.diagnostic_test business.industry General surgery Emergency department lcsh:Diseases of the respiratory system medicine.disease Intensive care unit Foreign body Aspiration 030220 oncology & carcinogenesis Difficult ventilation business |
| Zdroj: | Respiratory Medicine Case Reports Respiratory Medicine Case Reports, Vol 23, Iss, Pp 93-95 (2018) |
| ISSN: | 2213-0071 |
| Popis: | Introduction: Bronchoscopy is a commonly used procedure in the context of aspiration in the Intensive Care Unit setting. Despite its ability to remove mucus plug and undigested gastric contents, aspiration of gastric content into the trachea is one of the most feared complications among anesthesiologist. Discussion: The scenario is made worst if the aspiration causes acute hypoxemic respiratory failure immediately post intubation. However, in the event of desaturation, the quick decision to proceed with bronchoscopy is a challenging task to the anesthesiologist without knowing the causes. Case presentation: We present a case of a 12-year-old boy who had a difficult-to-ventilate scenario post transferring and immediately connected to ventilator in operation theatre (OT) from portable ventilator from the emergency department. She was successfully managed by bronchoscopy. Conclusion: Special attention should be given to the difficult-to-ventilate scenario post intubation of traumatic brain injury patient prior to operation. Prompt diagnosis and bronchoscope-assisted removal of foreign body was found to be a successful to reduce morbidity and mortality. Keywords: Foreign body, Aspiration, Chicken meat, Difficult ventilation |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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