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Undiagnosed chicken meat aspiration as a cause of difficult-to-ventilate in a boy with traumatic brain injury.

Mohd Ariff@Ghazali, Nazhan Afeef and Mazlan, Mohd Zulfakar and Mat Hassan, Mohd Erham and Seevaunnamtum, Praveena A/P and Wan Muhd Shukeri, Wan Fadzlina and Nik Mohamad, Nik Abdullah and Hassan, Shamsul Kamarulrujan and Jaalam, Kamarudin and Hassan, Mohamad Hasyizan and Che Omar, Sanihah and Nadarajan, Chandran and Mohamad, Irfan (2018) Undiagnosed chicken meat aspiration as a cause of difficult-to-ventilate in a boy with traumatic brain injury. Respiratory Medicine Case Report, 23. pp. 93-95. ISSN 2213-0071

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Introduction: Bronchoscopy is a commonly used procedure in the context of aspiration in the Intensive Care Unit setting. Despite its ability to remove mucus plug and undigested gastric contents, aspiration of gastric content into the trachea is one of the most feared complications among anesthesiologist. Discussion:The scenario is made worst if the aspiration causes acute hypoxemic respiratory failure immediately post intubation. However, in the event of desaturation, the quick decision to proceed with bronchoscopy is a challenging task to the anesthesiologist without knowing the causes. Case presentation:We present a case of a 12-year-old boy who had a difficult-to-ventilate scenario post transferring and immediately connected to ventilator in operation theatre (OT) from portable ventilator from the emergency department. She was successfully managed by bronchoscopy. Conclusion:Special attention should be given to the difficult-to-ventilate scenario post intubation of traumatic brain injury patient prior to operation. Prompt diagnosis and bronchoscope-assisted removal of foreign body was found to be a successful to reduce morbidity and mortality.

Item Type: Article (Case Report)
Additional Information: 6961/83672
Uncontrolled Keywords: Foreign body, Aspiration, Chicken meat, Difficult ventilation
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User: Doctor Nazhan Afeef Mohd. Ariff @ Ghazali
Date Deposited: 15 Oct 2020 15:19
Last Modified: 16 Oct 2020 16:23
URI: http://irep.iium.edu.my/id/eprint/83672

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