scholarly journals Post-obstructive pulmonary edema from aspirated nuts

2017 ◽  
Vol 5 ◽  
pp. 2050313X1771739 ◽  
Author(s):  
Ahsan Bashir ◽  
Sabina Qureshi Ahmad ◽  
Joshua Silverman ◽  
Emily Concepcion ◽  
Haesoon Lee
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Early Recognition ◽  
Clinical History ◽  
Endoscopic Removal ◽  
Hemodynamic Changes ◽  
Mechanically Ventilated ◽  
Foreign Body Obstruction ◽  
Closed Airway

Objectives: Post-obstructive pulmonary edema is thought to occur from hemodynamic changes secondary to forced inspiration against the closed airway due to acute or chronic airway obstruction. We report a case of a 13 month-old boy who developed pulmonary edema from aspirated foreign body, nuts. Methods: He underwent emergency bronchoscopy to confirm the clinical diagnosis of aspirated nuts in the trachea and nuts were removed endoscopically. His trachea was then intubated and he was mechanically ventilated with oxygen. Results: He developed florid pulmonary edema early in the course with tracheal obstruction and during endoscopic removal of nuts. After removal of obstruction he was ventilated mechanically and pulmonary edema cleared rapidly. Conclusions: Aspirated nuts obstructing trachea can induce obstructive pulmonary edema. Early recognition of foreign body obstruction based on clinical history and its removal resolved pulmonary edema.

A Dog with Dysuria Caused by Foreign Body Obstruction in the Prostatic Urethra

2012 ◽  
Vol 42 (3+4) ◽  
pp. 39-43
Author(s):  
Nobuyuki KAMISHIMA ◽  
Mika MISHINA ◽  
Toshifumi WATANABE
Keyword(s):  
Foreign Body ◽  
Prostatic Urethra ◽  
Foreign Body Obstruction

DOG COLLAR CAUSING LINEAR FOREIGN BODY OBSTRUCTION AND INTUSSUSCEPTION IN A DOG

2018 ◽  
Vol 10 (2) ◽  
pp. 168
Author(s):  
Indramani Nath ◽  
S. S. Behera ◽  
S. Dhanalakshmi ◽  
Mandakini Sahoo ◽  
Ajay Dhanda ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Body Obstruction

scholarly journals Intraorbital wooden foreign body detected by computed tomography and magnetic resonance imaging

2016 ◽  
Vol 30 (1) ◽  
pp. 88-91 ◽  
Author(s):  
Alfredo Di Gaeta ◽  
Francesco Giurazza ◽  
Eugenio Capobianco ◽  
Alvaro Diano ◽  
Mario Muto
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Magnetic Resonance ◽  
Delayed Diagnosis ◽  
Clinical History ◽  
Definitive Diagnosis ◽  
Double Vision ◽  
Resonance Imaging ◽  
Wooden Foreign Body ◽  
The Right

To identify and localize an intraorbital wooden foreign body is often a challenging radiological issue; delayed diagnosis can lead to serious adverse complications. Preliminary radiographic interpretations are often integrated with computed tomography and magnetic resonance, which play a crucial role in reaching the correct definitive diagnosis. We report on a 40 years old male complaining of pain in the right orbit referred to our hospital for evaluation of eyeball pain and double vision with an unclear clinical history. Computed tomography and magnetic resonance scans supposed the presence of an abscess caused by a foreign intraorbital body, confirmed by surgical findings.

scholarly journals Airway obstruction by round worm in mechanically ventilated patient: An unusual cause

2011 ◽  
Vol 55 (6) ◽  
pp. 637 ◽  
Author(s):  
Tumul Chowdhury ◽  
Jaikishan Anandani ◽  
SachidanandJee Bharati ◽  
Keshav Goyal
Keyword(s):  
Airway Obstruction ◽  
Mechanically Ventilated ◽  
Round Worm

Unsuspected Foreign Bodies of the Aerodigestive Tract

1978 ◽  
Vol 87 (4) ◽  
pp. 515-518 ◽  
Author(s):  
William Banks ◽  
William P. Potsic
Keyword(s):  
Foreign Body ◽  
Early Diagnosis ◽  
Chart Review ◽  
Foreign Bodies ◽  
Failure To Thrive ◽  
Late Complications ◽  
Aerodigestive Tract ◽  
Endoscopic Removal ◽  
Children's Hospital ◽  
Prolonged Duration

The well-known tendency for children to place loose objects in their months not infrequently leads to the entrapment of foreign bodies in the aerodigestive tract. With prompt and adequate removal few complications occur. However, when the foreign body goes undetected or is neglected the patient may develop dysphagia, pneumonia, failure to thrive, lung or mediastinal abscesses, bronchopulmonary or bronchoesophageal fistulas, or erosion of major vessels. Fifteen cases of retained foreign bodies were identified in a chart review between 1971 and 1977 at the Children's Hospital of Philadelphia, calling attention to the problems of aerodigestive foreign bodies of prolonged duration. Early and late complications are discussed and early diagnosis and endoscopic removal emphasized.

scholarly journals Pharmacological Management of Esophageal Food Bolus Impaction

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Yasir Mohammed Khayyat
Keyword(s):  
Foreign Body ◽  
Channel Blockers ◽  
Endoscopic Removal ◽  
Food Bolus ◽  
Pharmacological Management ◽  
Mesh Terms ◽  
Food Bolus Impaction ◽  
Bolus Impaction ◽  
Effervescent Agents ◽  
Manual Review

Background. Soft esophageal bolus impaction is an emergency that requires skilled endoscopic removal if persistent obstructive symptoms do not resolve spontaneously after careful observation. Expedited care of these patients is crucial to avoid respiratory and mechanical complications. Other possible options for management include medical agents used to manage it prior to performing endoscopy if access to endoscopy was not available or declined by the patient.Aim. To review the available pharmacological and other nonmedicinal options and their mechanism of relief for soft esophageal impaction.Method. Pubmed, Medline and Ovid were used for search of MESH terms pertinent including “foreign body, esophageal, esophageal bolus and medical” for pharmacological and non medicinial agents used for management of esophageal soft bolus impaction as well as manual review of the cross-references.Results. Several agents were identified including Buscopan, Glucagon, nitrates, calcium channel blockers, and papaveretum. Non medicinal agents are water, effervescent agents, and papain. No evidence was found to suggest preference or effectiveness of use of a certain pharmacological agent compared to others. Buscopan, Glucagon, benzodiazepines, and nitrates were studied extensively and may be used in selected patients with caution. Use of papain is obsolete in management of soft bolus impaction.

scholarly journals Endobronchial Foreign Body Presenting as Exacerbation of Asthma

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
James E. Tsang ◽  
June Sun ◽  
Gaik C. Ooi ◽  
Kenneth W. Tsang
Keyword(s):  
Foreign Body ◽  
Respiratory Distress ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Fiberoptic Bronchoscopy ◽  
Clinical History ◽  
Medical Personnel ◽  
History Of ◽  
Normal Chest ◽  
Low Dose Computed Tomography

Airway foreign bodies are a leading cause of death among children and require urgent recognition by medical personnel. While most cases are diagnosed readily from a clinical history of acute respiratory distress, some cases remain more indolent and present later. We report the case of a 7-year-old boy who aspirated a “LEGO” toy and presented with a week history of increasing respiratory distress compatible with known asthma. Despite a normal chest X-ray, a low-dose computed tomography showed the presence of a foreign body in the left main bronchus, which was subsequently removed by fiberoptic bronchoscopy. Our case serves to reemphasize the importance of considering airway foreign bodies as a cause of respiratory distress, especially in young children.

Alveolar epithelial fluid transport and the resolution of clinically severe hydrostatic pulmonary edema

1999 ◽  
Vol 87 (4) ◽  
pp. 1301-1312 ◽  
Author(s):  
G. M. Verghese ◽  
L. B. Ware ◽  
B. A. Matthay ◽  
M. A. Matthay
Keyword(s):  
Pulmonary Edema ◽  
Fluid Transport ◽  
Simplified Acute Physiology Score ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Alveolar Fluid Clearance ◽  
Ventricular Ejection Fraction ◽  
Mechanically Ventilated ◽  
Alveolar Epithelial ◽  
Edema Fluid

To characterize the rate and regulation of alveolar fluid clearance in the uninjured human lung, pulmonary edema fluid and plasma were sampled within the first 4 h after tracheal intubation in 65 mechanically ventilated patients with severe hydrostatic pulmonary edema. Alveolar fluid clearance was calculated from the change in pulmonary edema fluid protein concentration over time. Overall, 75% of patients had intact alveolar fluid clearance (≥3%/h). Maximal alveolar fluid clearance (≥14%/h) was present in 38% of patients, with a mean rate of 25 ± 12%/h. Hemodynamic factors (including pulmonary arterial wedge pressure and left ventricular ejection fraction) and plasma epinephrine levels did not correlate with impaired or intact alveolar fluid clearance. Impaired alveolar fluid clearance was associated with a lower arterial pH and a higher Simplified Acute Physiology Score II. These factors may be markers of systemic hypoperfusion, which has been reported to impair alveolar fluid clearance by oxidant-mediated mechanisms. Finally, intact alveolar fluid clearance was associated with a greater improvement in oxygenation at 24 h along with a trend toward shorter duration of mechanical ventilation and an 18% lower hospital mortality. In summary, alveolar fluid clearance in humans may be rapid in the absence of alveolar epithelial injury. Catecholamine-independent factors are important in the regulation of alveolar fluid clearance in patients with severe hydrostatic pulmonary edema.

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