拔管失败:口香糖导致上气道阻塞。病例报告。

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引用次数: 0

摘要

拔管失败可能由不同的并发症导致,其中大部分在文献中都有详细描述,如喉水肿。异物阻塞气道是一种不太常见的意外并发症,其检测对医护人员来说仍是一项挑战。在本病例报告中,我们描述了一名因机动车事故被送入重症监护室的患者,由于误诊为上气道异物阻塞,导致拔管失败并进行了气管造口术。因此,在对这些患者进行医学影像和临床评估时,应考虑对异物进行筛查。最后,充气罩囊漏气试验、超声波检查和视频喉镜检查可作为识别可疑异物的重要辅助手段。
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Extubation failure: Upper airway obstruction by chewing gum. A case report
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.
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