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Paediatric anaesthesia · May 2014
Case ReportsAnesthetic management of bronchial rupture following extraction of a fishbone from the bronchus after 5 months.
- Department of Anesthesiology, Pudong New Area Zhoupu Hospital, Shanghai, China.
- Paediatr Anaesth. 2014 May 1;24(5):544-6.
AbstractBronchial 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.© 2013 John Wiley & Sons Ltd.
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