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

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  • Additional Information
    • Source:
      Publisher: Elsevier España Country of Publication: Spain NLM ID: 101778594 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2341-1929 (Electronic) Linking ISSN: 23411929 NLM ISO Abbreviation: Rev Esp Anestesiol Reanim (Engl Ed) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Barcelona : Elsevier España, 2015-
    • Subject Terms:
      Airway Obstruction*/etiology ; Airway Extubation* ; Foreign Bodies*/complications ; Foreign Bodies*/diagnostic imaging ; Chewing Gum*; Humans ; Male ; Tracheostomy ; Diagnostic Errors ; Treatment Failure
    • Abstract:
      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.
      (Copyright © 2024. Publicado por Elsevier España, S.L.U.)
    • Contributed Indexing:
      Keywords: 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
    • Accession Number:
      0 (Chewing Gum)
    • Publication Date:
      Date Created: 20240211 Date Completed: 20241003 Latest Revision: 20241030
    • Publication Date:
      20241031
    • Accession Number:
      10.1016/j.redare.2024.02.006
    • Accession Number:
      38342303