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Anesthetic management of bronchial rupture following extraction of a fishbone from the bronchus after 5 months
Author(s) -
Ma Guoping,
Yang Jingli,
Liu Song
Publication year - 2014
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.12336
Subject(s) - medicine , bronchus , anesthesia , thoracotomy , airway , bronchoscopy , surgery , foreign body , ventilation (architecture) , peripheral , right main bronchus , lung , respiratory disease , mechanical engineering , engineering
Summary Bronchial rupture occurred during bronchoscopic visualization and extraction of a fishbone from the bronchus in a 2‐year‐old male patient with a 5‐month history of foreign body aspiration. Emergency thoracotomy was scheduled for examination and surgical repair of the bronchus. The pressure of the airway and circuit fell sharply and ventilation could not be maintained after muscle relaxants were injected and spontaneous respiration ceased. Oxygenation worsened rapidly with the peripheral oxygen saturation level decreasing below 60%. An endotracheal tube was inserted into one of the main bronchi. Peripheral oxygen saturation improved from 60% to 90%, and subsequent surgery was performed without complications.