Citation

Gonzalez-Anton D, Gallice T, Borges Da Silva A, Carrié C. Rev. Esp. Anestesiol. Reanim. (Engl. Ed.) 2024; ePub(ePub): ePub.

Copyright

(Copyright © 2024, Elsevier Publishing)

DOI

10.1016/j.redare.2024.02.006

PMID

38342303

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.

Language: en

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