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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e57-e59
DOI: 10.1055/s-0043-1776110
Case Report: Thoracic

Aspiration of a Blister Pack Tablet with Tracheal Obstruction and Perforation: Emergency Tracheal Repair with Extracorporeal Membrane Oxygenation Support

Michael Schweigert 
1   Department of Surgery, University Hospital Schleswig-Holstein, Luebeck, Germany
,
Patrick Parschke
2   Department of Pulmonology, University Hospital Schleswig-Holstein, Luebeck, Germany
,
Ana Beatriz Almeida
1   Department of Surgery, University Hospital Schleswig-Holstein, Luebeck, Germany
,
Patrick Kellner
3   Department of Anesthesia and Intensive Care, University Hospital Schleswig-Holstein, Luebeck, Germany
› Institutsangaben Funding None.
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Abstract

Background Airway management in case of acute tracheal injury is a challenging situation where the use of Extracorporeal Membrane Oxygenation (ECMO) has recently gained more importance.

Case Description We report the case of a 60-year old women with aspiration of a large blister pack tablet causing acute tracheal obstruction with asphyxia as well as tracheal perforation with tension pneumothorax. As bronchoscopy failed to retrieve the blister pack, emergency tracheal reconstruction with Extracorporeal Membrane Oxygenation (ECMO) support was carried out.

Conclusion The application of ECMO instantly alleviated the acute situation and provided excellent conditions for technically demanding emergency tracheal repair.

Keywords

airway - thoracic Surgery - extracorporeal membrane oxygenation

Note

The legal representatives consented to publish the information disclosed in this case report.




Publikationsverlauf

Eingereicht: 09. April 2023

Angenommen: 10. August 2023

Artikel online veröffentlicht:
02. November 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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