Endobronchial Valve Used as Salvage Therapy in a Mechanically Ventilated Patient with Intractable Life-Threatening Haemoptysis

Drug errors in anaesthesia can be life threatening. In this article, we report two such mishaps of wrong drug administration. A 12-year-old boy was unintentionally injected atracurium instead of diclofenac for pain relief. He became apneic and did not respond to verbal commands. His trachea was intubated and he was mechanically ventilated. After 40 minutes of sedation, mechanical ventilation and stable hemodynamics, extubation of trachea was done. Another patient was also accidentally injected atracurium in the operating room to provide post-operative analgesia at the end of the surgery. Both the cases had favourable outcome because of a high degree of suspicion, prompt diagnosis and early intubation; very crucial steps in such scenarios. This article concludes that the labels should be carefully checked before drug administration, for the right drug and adequate dosage at the right time.

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Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia

IDCases ◽

10.1016/j.idcr.2020.e00898 ◽

2020 ◽

Vol 21 ◽

pp. e00898

Author(s):

Vaia Derveni ◽

Evangelos Kaniaris ◽

Dimitris Toumpanakis ◽

Efstathia Potamianou ◽

Ilianna Ioannidou ◽

...

Keyword(s):

Cardiac Tamponade ◽

Mechanically Ventilated ◽

Life Threatening

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Salvage therapy in acute life-threatening vaginal bleeding of cervical cancer: Hypogastric artery embolization

Taiwanese Journal of Obstetrics and Gynecology ◽

10.1016/j.tjog.2015.01.005 ◽

2016 ◽

Vol 55 (4) ◽

pp. 607-608 ◽

Cited By ~ 4

Author(s):

Sema Süzen Çaypınar ◽

Hakan Güraslan ◽

Baki Şentürk ◽

Hüseyin Cengiz ◽

Levent Yaşar

Keyword(s):

Cervical Cancer ◽

Salvage Therapy ◽

Vaginal Bleeding ◽

Hypogastric Artery ◽

Artery Embolization ◽

Life Threatening

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Dental Management for Patients in ICU

Journal of Oral Health and Community Dentistry ◽

10.5005/johcd-10-3-80 ◽

2016 ◽

Vol 10 (3) ◽

pp. 80-86 ◽

Cited By ~ 1

Author(s):

SK Rath ◽

U Kumar

Keyword(s):

Oral Care ◽

Oral Diseases ◽

Special Equipment ◽

Icu Patients ◽

Professional Qualification ◽

Mechanically Ventilated ◽

Psychological Conditions ◽

Dental Management ◽

Life Threatening ◽

Multifaceted Interventions

ABSTRACT The essence of multi disciplinarity is that professionals from different areas acting on the same patient in intensive care do not rely on the environment or special equipment but on the decision making process, based on the full understanding of the patient's physiological, psychological conditions and of new therapies. It is mandatory that ICU patients receive sufficient oral hygiene care during their stay, for the purpose of preventing oral pathologies and possible complications of already existing oral diseases. There is real need for the effective participation of dentists and the nursing staff in the instructions, professional qualification, and motivation of health professionals working in the ICU in order to create specific routines to promote oral health in ICU patients. Multifaceted interventions to improve oral care nursing practices are required to reduce the incidence of life threatening conditions in mechanically ventilated patients, thereby improving patient safety

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Utility of Endobronchial Valves in a Patient with Bronchopleural Fistula in the Setting of COVID-19 Infection: A Case Report and Brief Review

Southwest Journal of Pulmonary and Critical Care ◽

10.13175/swjpcc046-21 ◽

2021 ◽

Vol 23 (4) ◽

pp. 109-114

Author(s):

Nazanin Sheikhan ◽

◽

Elizabeth Benge ◽

Amanpreet Kaur ◽

Jerome Hruska ◽

...

Keyword(s):

Mechanical Ventilation ◽

Acute Respiratory Distress Syndrome ◽

Case Report ◽

Distress Syndrome ◽

Bronchopleural Fistula ◽

Invasive Mechanical Ventilation ◽

Air Leak ◽

Mechanically Ventilated ◽

Growing Body ◽

Endobronchial Valve

Patients with COVID-19 pneumonia frequently develop acute respiratory distress syndrome (ARDS), and in severe cases, require invasive mechanical ventilation. One complication that can develop in patients with ARDS who are mechanically ventilated is a bronchopleural fistula (BPF). Although rare, the frequency of BPF in patients with COVID-19 pneumonia is increasingly recognized. Here, we present a 48-year old man with BPF associated with COVID-19 pneumonia. Treatment with a commercial endobronchial valve (EBV) system resulted in reduced air leak allowing for tracheostomy placement. Our case adds to a growing body of evidence suggesting that the presence of COVID-19 pneumonia does not hinder the utility of EBV’s in the treatment of BPF’s.

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Surfactant as salvage therapy in life threatening primary graft dysfunction in lung transplantation

European Journal of Cardio-Thoracic Surgery ◽

10.1016/j.ejcts.2008.09.039 ◽

2009 ◽

Vol 35 (2) ◽

pp. 299-303 ◽

Cited By ~ 11

Author(s):

Anat Amital ◽

David Shitrit ◽

Yael Raviv ◽

Milton Saute ◽

Ilana Bakal ◽

...

Keyword(s):

Lung Transplantation ◽

Salvage Therapy ◽

Primary Graft Dysfunction ◽

Graft Dysfunction ◽

Life Threatening

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Snake Envenomation to the Face of a Child – Rare Case

Prague Medical Report ◽

10.14712/23362936.2015.70 ◽

2015 ◽

Vol 116 (4) ◽

pp. 314-320

Author(s):

Mustafa Şahan ◽

Mehmet Duru ◽

Koca Çalişkan ◽

Ali Karakuş ◽

Oğuzhan Özcan ◽

...

Keyword(s):

Good Condition ◽

Orotracheal Intubation ◽

Fresh Frozen Plasma ◽

Laboratory Findings ◽

Mortality And Morbidity ◽

Mechanically Ventilated ◽

The Face ◽

Fresh Frozen ◽

Life Threatening ◽

Frozen Plasma

Snakebites are seen in summer season in the southern part of Turkey, including Hatay province. In average of 40 patients with snakebites are admitted to our hospital every year. Viper is the most common venomous snakes in our region. Their hemotoxins and necrotoxins lead to local or systemic tissue damage and is responsible for the mortality and morbidity. In this report, we described a rare pediatric case, a six-year-old boy having been bitten on the left side of his face when he was looking around from their home’s balcony. The patient was orotracheally intubated and mechanically ventilated because of airway obstruction due to severe edema. 12 flacon of anti-snake venom, mannitol infusion, fresh frozen plasma, erythrocytes suspension and antibiotherapy were administered to the patient. Seven days after the admission, clinical and laboratory findings were improved and the patient was discharged in a good condition. Snakebites inflicted on face and neck areas may cause rapidly progressive edema in respiratory tract and lead to life-threatening conditions. Therefore early orotracheal intubation is very important to prevent mortality.

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