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Images in Intensive Medicine
An unusual foreign body aspiration
Un cuerpo extraño insólito en vía aérea
J.C. Suarez Monteroa,
Corresponding author
jsuarez@santpau.cat

Corresponding author.
, A. Cordon-Abaldea, A. Torrego Fernándezb
a Intensive Care Department, Hospital Universitario de la Santa Creu I Sant Pau, Barcelona, Spain
b Bronchoscopy Unit, Respiratory Department, Hospital Universitario de la Santa Creu I Sant Pau, Barcelona, Spain
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    "titulo" => "An unusual foreign body aspiration"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 77-year-old gentleman was admitted in ICU for respiratory arrest secondary to foreign body aspiration while having dinner&#46; Immediately after intubation and connection to mechanical ventilation&#44; a ventilator alert showed peak inspiratory pressure increased&#46; Emergency bronchoscopy was indicated&#46; Bronchoscopy showed an unusual foreign body in the trachea until carina with obstruction at the distal lumen of the endotracheal tube &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a and b&#41;&#46; A 2&#46;4<span class="elsevierStyleHsp" style=""></span>mm cryoprobe was inserted through bronchoscope working channel&#46; After several unsuccessful attempts to remove it through the 9<span class="elsevierStyleHsp" style=""></span>mm endotracheal tube&#44; the foreign body was moved up to the subglottic region attached to cryoprobe &#40;<a class="elsevierStyleCrossRef" href="#sec0015">Video</a>&#41;&#46; Direct laryngoscopy was then performed showing a foreign body &#40;beef&#41; under the vocal cords and hanging in the subglottic region&#46; The &#8220;<span class="elsevierStyleItalic">beef</span>&#8221; &#40;about 70 whole grams&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41; was successfully removed with Magill&#39;s forceps&#46; The patient was extubated and discharged from hospital 48<span class="elsevierStyleHsp" style=""></span>h later fully recovered&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">All authors declare no conflict of interests for the submitted word&#46;</p></span></span>"
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ISSN: 21735727
Original language: English
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Medicina Intensiva (English Edition)