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

Airway Foreign body obstruction Aspiración Aspiration Chewing gum Chicle Cuidados intensivos Extubation failure Fallo de la extubación Intensive Care Obstrucción de la vía aérea por cuerpo extraño

Journal

Revista espanola de anestesiologia y reanimacion
ISSN: 2341-1929
Titre abrégé: Rev Esp Anestesiol Reanim (Engl Ed)
Pays: Spain
ID NLM: 101778594

Informations de publication

Date de publication:
09 Feb 2024
Historique:
received: 11 10 2023
accepted: 22 11 2023
medline: 12 2 2024
pubmed: 12 2 2024
entrez: 11 2 2024
Statut: aheadofprint

Résumé

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.

Identifiants

pubmed: 38342303
pii: S2341-1929(24)00026-X
doi: 10.1016/j.redare.2024.02.006
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Publicado por Elsevier España, S.L.U.

Auteurs

D Gonzalez-Anton (D)

Trauma and Surgical Intensive Care Unit, Emergency Unit, Bordeaux Universitary Hospital, Burdeos, France. Electronic address: gonzalezantondaniel@yahoo.es.

T Gallice (T)

Neurologic Intensive Care Unit and Neurosurgery Unit, Bordeaux Universitary Hospital, France.

A Borges Da Silva (A)

Trauma and Surgical Intensive Care Unit, Emergency Unit, Bordeaux Universitary Hospital, Burdeos, France.

C Carrié (C)

Trauma and Surgical Intensive Care Unit, Emergency Unit, Bordeaux Universitary Hospital, Burdeos, France.

Classifications MeSH