1/328. Upper airway obstruction.A large number of diseases may present with respiratory distress. In adults, upper airway obstruction (UAO) is relatively rare. Consequently, UAO may initially be overlooked in the differential diagnosis of the dyspneic patient. Because it may progress rapidly, delays or errors in diagnosis can be critical. During an eight-month period in one emergency department, seven adult patients with potentially life-threatening diseases of the upper airway were seen. To reacquaint physicians with the syndrome of mechanical obstruction of large airways, several illustrative cases are presented and the syndrome is discussed.- - - - - - - - - - ranking = 1keywords = airway obstruction, obstruction, airway (Clic here for more details about this article) |
2/328. Management of laryngeal foreign bodies in children.Foreign body aspiration is one of the leading causes of accidental death in children. food items are the most common items aspirated in infants and toddlers, whereas older children are more likely to aspirate non-food items. Laryngeal impaction of a foreign body is very rare as most aspirated foreign bodies pass through the laryngeal inlet and get lodged lower down in the airway. Two rare cases of foreign body aspiration with subglottic impaction in very young children (under 2 years of age) are described. In both the cases subglottic impaction occurred consequent to attempted removal of foreign body by blind finger sweeping. The clinical presentation, investigations, and management of these rare cases are discussed.- - - - - - - - - - ranking = 0.023758447657208keywords = airway (Clic here for more details about this article) |
3/328. Combined rigid and flexible endoscopic removal of a BB foreign body from a peripheral bronchus.Aspirated foreign bodies (FB) in the peripheral tracheobronchial tree may present challenging management problems for the bronchoscopist. Critical to successful removal is maintaining airway control while minimizing endoscopy time. An innovative approach utilizing rigid and flexible bronchoscopy in removal of a distal impacted airway is presented. Difficulties encountered as well as advantages of this combined approach are discussed.- - - - - - - - - - ranking = 0.047516895314416keywords = airway (Clic here for more details about this article) |
4/328. Fracture at fenestration of synthetic tracheostomy tube resulting in a tracheobronchial airway foreign body.tracheostomy tube fracture resulting in airway obstruction is a relatively rare but serious complication. We report the case of a 48-year-old man whose tracheostomy tube fractured and became lodged in the right primary bronchus. Recommendations are made for tracheostomy care to help prevent similar complications in patients with an indwelling tracheostomy tube.- - - - - - - - - - ranking = 0.27772170480891keywords = airway obstruction, obstruction, airway (Clic here for more details about this article) |
5/328. Bronchoscopic removal of bronchial foreign bodies through the laryngeal mask airway in pediatric patients.The laryngeal mask airway was used to perform fiberoptic removal of bronchial foreign bodies (peanuts) in two pediatric patients. Laryngeal mask airway offers easy access to the airway, safe respiratory management and direct visualization of the airway during bronchoscopic procedures. Laryngeal mask airway allows the use of larger bronchoscopes than can usually be used for children when bronchoscopy is performed through an endotracheal tube. In each case, the peanuts were removed safely and easily using a Fogarty catheter through the fiberoptic bronchoscope. These cases suggest that laryngeal mask airway is useful in maintaining a secure airway during the removal of bronchial foreign bodies in children.- - - - - - - - - - ranking = 0.26134292422929keywords = airway (Clic here for more details about this article) |
6/328. An unusual foreign body in the bowel lumen causing obstruction in a neonate.Most of the foreign bodies swallowed by children pass the entire gastrointestinal tract without any complication. Neonatal intestinal foreign bodies are extremely rare. A newborn with a small bowel obstruction caused by a fresh grape is reported.- - - - - - - - - - ranking = 0.19521766892598keywords = obstruction (Clic here for more details about this article) |
7/328. Use of mediastinoscopy for foreign body removal.Foreign body removal from the aerodigestive tract can be a challenging endeavor despite improvements in technology. Rigid bronchoscopy has been demonstrated to be a safe and effective means of airway foreign body removal with appropriate training and expertise. However, potential complications exist and include extraluminal impaction of a penetrating foreign body during removal. This report details such a complication and the first known use of mediastinoscopy to remove the impacted foreign body to avoid the need for thoracotomy.- - - - - - - - - - ranking = 0.023758447657208keywords = airway (Clic here for more details about this article) |
8/328. Ingested endotracheal tube in an adult following intubation attempt for head injury.General surgeons are often consulted for assistance in the management of ingested foreign bodies. deglutition of an endotracheal tube is an unusual complication of airway management. In these cases, the artificial airway is "lost" when it becomes lodged deep into the esophagus. Endoscopic extraction has been described as therapeutic. We report a case in which prehospital endotracheal intubation attempt for the management of closed head injury resulted in a swallowed endotracheal tube. The tube remained undetected until radiographs were performed for a second unrelated traumatic event 2 years later. Endoscopic extraction was unsuccessful, due to rigidity of the tube. Surgical extraction via gastrotomy was uneventful. Surgeons involved in trauma and other emergency settings should be aware of this complication and options in management.- - - - - - - - - - ranking = 0.047516895314416keywords = airway (Clic here for more details about this article) |
9/328. Oral presentation of an oesophageal mucosal tear.tears of the oesophageal wall following sudden forceful vomiting are well documented in literature. In Boerhaave's syndrome there is transmural rupture associated with complications including pneumothorax, pneumomediastinum, surgical emphysema and shock. In mallory-weiss syndrome mucosal tears are associated with haematemesis and shock. In neither of these conditions has intraluminal obstruction been described as an aetiological factor. We present a case with similar pathophysiology where oesophageal obstruction by a meat bolus followed by forceful vomiting led to an oesophageal mucosal tear and presentation of a band of oesophageal mucosa in the oral cavity. The patient did not develop any complications and made an uneventful recovery following conservative management.- - - - - - - - - - ranking = 0.078087067570391keywords = obstruction (Clic here for more details about this article) |
10/328. A new approach for the retrieval of broken instruments.The purpose of this article is to present a modified ultrasonic spreader and a new technique that are used for the retrieval of solid obstructions that can not be bypassed by conventional methods. The technique advocated and the instruments proposed are described. A clinical case is discussed to show the possibilities and limitations of both instrument and method.- - - - - - - - - - ranking = 0.039043533785196keywords = obstruction (Clic here for more details about this article) |
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