A Case of Airway Compromise in a 15-year-old Girl With Intellectual Disability
| Autor: | Phoebe H. Yager, Courtney Haviland, Josephine Lok, Brian M. Cummings, Sarah Murphy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty medicine.medical_treatment Perforation (oil well) pediatric intensive care unit(picu) autism spectrum disorder (asd) general pediatric surgery 030204 cardiovascular system & hematology Drooling 03 medical and health sciences 0302 clinical medicine Pediatric Surgery Intellectual disability Medicine Intubation Pica (disorder) esophageal foreign body intellectual and developmental disabilities business.industry pica General Engineering pediatric ent Emergency department pediatric emergency department medicine.disease Respiratory failure Emergency Medicine Airway management medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Foreign body ingestion (FoBI) is an important source of morbidity and mortality in the pediatric population. Patients with intellectual disabilities (ID) are at increased risk of FoBI, likely due to the known association between ID and increased rates of pica. In this report, we present the case of a 15-year-old female patient with autism spectrum disorder (ASD) and ID who presented to the emergency department with fever, drooling, and respiratory failure. She required intubation for airway management. A diagnosis of FoBI was made after striking CT images revealed an entire graphite pencil in her esophagus, causing perforation of the retropharyngeal space. Her recovery course was complicated. Shortly after discharge, the patient was readmitted with repeat FoBI and another significant esophageal injury. Patients with ID who require surgery due to FoBI are at higher risk of complications and often require prolonged hospitalizations compared to their neurotypical peers. Prevention of FoBI in patients with ID constitutes an important aspect of clinical care and requires efforts toward achieving a balance between patient safety and autonomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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