Yingying Wang , Liqun Zhu , Hairong Yong , Xiaohong Lv , Binbin Qian , Zihan Wang
{"title":"在紧急情况下,气管插管取代纤维支气管镜从气道中取出异物的病例报告","authors":"Yingying Wang , Liqun Zhu , Hairong Yong , Xiaohong Lv , Binbin Qian , Zihan Wang","doi":"10.1016/j.rmcr.2024.102045","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Foreign bodies in the airways can cause significant morbidity and mortality. If emergency personnel are unable to clear an airway obstruction frequently results in cardiac arrest.</p></div><div><h3>Patient concerns</h3><p>A 78-year-old man developed a persistent cough and dyspnoea after consuming alcohol. Fiberoptic bronchoscopy was performed, revealing complete blockage of the main airways on both sides by fish.</p></div><div><h3>Diagnosis</h3><p>Endotracheal foreign body.</p></div><div><h3>Interventions</h3><p>The foreign body was removed with an endotracheal tube under the guidance of a fiberoptic bronchoscope.</p></div><div><h3>Outcomes</h3><p>The airway foreign body had been successfully removed and the man recovered uneventfully.</p></div><div><h3>Conclusion</h3><p>When repeated attempts to extract airway foreign bodies under the guidance of bronchoscopy have failed, endotracheal intubation can be considered as a viable alternative in emergency situations.</p></div>","PeriodicalId":51565,"journal":{"name":"Respiratory Medicine Case Reports","volume":"50 ","pages":"Article 102045"},"PeriodicalIF":0.8000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213007124000686/pdfft?md5=e3fbdc53f93b69f70d1897a3ba220e1d&pid=1-s2.0-S2213007124000686-main.pdf","citationCount":"0","resultStr":"{\"title\":\"In emergency situations, tracheal intubation replaces fiberoptic bronchoscopy to extract foreign bodies from the airway, a case report\",\"authors\":\"Yingying Wang , Liqun Zhu , Hairong Yong , Xiaohong Lv , Binbin Qian , Zihan Wang\",\"doi\":\"10.1016/j.rmcr.2024.102045\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Foreign bodies in the airways can cause significant morbidity and mortality. If emergency personnel are unable to clear an airway obstruction frequently results in cardiac arrest.</p></div><div><h3>Patient concerns</h3><p>A 78-year-old man developed a persistent cough and dyspnoea after consuming alcohol. Fiberoptic bronchoscopy was performed, revealing complete blockage of the main airways on both sides by fish.</p></div><div><h3>Diagnosis</h3><p>Endotracheal foreign body.</p></div><div><h3>Interventions</h3><p>The foreign body was removed with an endotracheal tube under the guidance of a fiberoptic bronchoscope.</p></div><div><h3>Outcomes</h3><p>The airway foreign body had been successfully removed and the man recovered uneventfully.</p></div><div><h3>Conclusion</h3><p>When repeated attempts to extract airway foreign bodies under the guidance of bronchoscopy have failed, endotracheal intubation can be considered as a viable alternative in emergency situations.</p></div>\",\"PeriodicalId\":51565,\"journal\":{\"name\":\"Respiratory Medicine Case Reports\",\"volume\":\"50 \",\"pages\":\"Article 102045\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2213007124000686/pdfft?md5=e3fbdc53f93b69f70d1897a3ba220e1d&pid=1-s2.0-S2213007124000686-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Respiratory Medicine Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213007124000686\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Respiratory Medicine Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213007124000686","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
In emergency situations, tracheal intubation replaces fiberoptic bronchoscopy to extract foreign bodies from the airway, a case report
Introduction
Foreign bodies in the airways can cause significant morbidity and mortality. If emergency personnel are unable to clear an airway obstruction frequently results in cardiac arrest.
Patient concerns
A 78-year-old man developed a persistent cough and dyspnoea after consuming alcohol. Fiberoptic bronchoscopy was performed, revealing complete blockage of the main airways on both sides by fish.
Diagnosis
Endotracheal foreign body.
Interventions
The foreign body was removed with an endotracheal tube under the guidance of a fiberoptic bronchoscope.
Outcomes
The airway foreign body had been successfully removed and the man recovered uneventfully.
Conclusion
When repeated attempts to extract airway foreign bodies under the guidance of bronchoscopy have failed, endotracheal intubation can be considered as a viable alternative in emergency situations.