scholarly journals Airway obstruction due to mucus plug in patients with Organophosphorous poisoning – Atropine the culprit? A case series

2021 ◽  
Vol 29 (1) ◽  
pp. 55
Author(s):  
Sajjan Prashant Shivaraj ◽  
Kulkarni Vandana Sharashchandra
Keyword(s):  
Airway Obstruction ◽  
Case Series ◽  
Mucus Plug

Unilateral True Vocal Fold Synkinesis Presenting with Airway Obstruction

2009 ◽  
Vol 118 (8) ◽  
pp. 587-591 ◽  
Author(s):  
Roya Azadarmaki ◽  
Natasha Mirza ◽  
Ahmed M. S. Soliman
Keyword(s):  
Botulinum Toxin ◽  
Airway Obstruction ◽  
Vocal Fold ◽  
Botulinum Toxin Injection ◽  
Case Series ◽  
Vocal Fold Paralysis ◽  
Unilateral Vocal Fold Paralysis ◽  
Nerve Section ◽  
Breathing Therapy ◽  
Vocal Fold Motion

Objectives We present a case series of 10 patients with unilateral true vocal fold paralysis who presented with airway obstruction. Methods A retrospective review of the authors' patients at 2 institutions with unilateral true vocal fold motion impairment was carried out over a 10-year period. Of these, 10 patients were identified who presented with stridor and dyspnea as a result of synkinesis. Six cases were a result of thyroidectomy, 1 case resulted from recurrent laryngeal nerve section for spasmodic dysphonia, 1 case occurred after anterior cervical diskectomy and fusion, and in 2 cases no cause was identified. Results Three patients underwent tracheotomy. Two patients underwent partial arytenoidectomy. Seven patients underwent botulinum toxin injection; 2 were treated with breathing therapy, and in 1 case breathing therapy was recommended. Seven patients underwent treatment with more than 1 method. Conclusions Unilateral vocal fold paralysis may present with airway obstruction as a result of synkinesis. Treatment should be incremental and starts with breathing therapy and botulinum toxin injection. Partial arytenoidectomy or tracheotomy may be necessary for refractory cases.

scholarly journals Bronchoscopy Manifestation In Severe COVID-19 Patient: Case Series 

2020 ◽  
Author(s):  
Allen Widysanto ◽  
Yusup Subagio Sutanto ◽  
Audrey Suryani Soetjipto ◽  
Nata Pratama Lugito ◽  
Sylvia Sagita Siahaan
Keyword(s):  
Case Series ◽  
Bronchial Wall ◽  
Case Presentation ◽  
Progressive Dyspnea ◽  
Life Saving ◽  
Significant Clinical Improvement ◽  
Bronchial Washing ◽  
Severe Manifestation ◽  
Chest X Ray ◽  
Mucus Plug

Abstract Background: Severe manifestation of COVID-19 are identical with significant inflammation and associated with high mortality due to severe hypoxemia. Bronchoscopy’s role in the management of COVID-19 patients is still controversial and minimally evaluatedCase presentation: Our case series reported unique bronchoscopy presentation. Three patients with COVID-19 were confirmed by PCR nasophryngeal swab suddenly complain of progressive dyspnea and impending respiratory failure not respond with oxygen therapy. An emergency bronchoscopy was performed. All three patient had a normal bronchial wall without inflammation and edema but showed significant thick and copious mucus plug resulting in sudden desaturation. Patient showed significant clinical improvement following bronchoscopy intervention showed by clinical and chest x-ray improvement. Conclusion : Deteriorating severe COVID-19 patient can have normal bronchial mucosa in bronchoscopy and showed marked thick and copious mucus plug. Bronchial washing and suction can be a life-saving modality as therapeutic effort. Significant improvements following the bronchial washing and suction was seen. Bronchoscopy should be performed with precaution and sufficient personal protective equipment to prevent infection transmission.

scholarly journals Spray Cryotherapy for the Treatment of Benign Airway Obstruction: Case Series

CHEST Journal ◽  
2016 ◽  
Vol 150 (4) ◽  
pp. 1008A
Author(s):  
Fayez Kheir ◽  
Daniel Alape ◽  
Erik Folch ◽  
Sebastian Fernandez-Bussy ◽  
Alejandro Folch ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Case Series

Fibre-optic intubation in oncological head and neck emergencies

2005 ◽  
Vol 119 (8) ◽  
pp. 634-638 ◽  
Author(s):  
Bipin Thomas Varghese ◽  
Mallika Balakrishnan ◽  
Renju Kuriakose
Keyword(s):  
Airway Obstruction ◽  
Head And Neck ◽  
Case Series ◽  
Upper Airway ◽  
Surgical Oncology ◽  
Fibre Optic ◽  
Operator Experience ◽  
Valuable Adjunct ◽  
Case Series Study ◽  
Oncology Centre

Objective: Although fibre-optic bronchoscopic intubation is well recognized as the most valuable adjunct for elective management of the difficult airway its precise role in oncological head and neck emergencies has not been evaluated. The objective of this study was to evaluate the role of fibre-optic intubation in such emergencies.Methods: This was a consecutive case series study by a single surgeon (the otolaryngologist) and anaesthetist team, taking place in a regional tertiary-referral head and neck surgical oncology centre. A series of 17 consecutive oncological head and neck emergency patients underwent fibre-optic intubation with a Portex endotracheal tube of inner diameter ≥7 mm, with the aid of a 6-mm (EB-1830T2) Pentax fibre-optic video bronchoscope. The study assessed occurrence of: avoidance of tracheostomy in bleeding emergencies; a well placed, uncomplicated tracheostomy in airway obstruction; and successful intubation.Results: Two cases were decannulated completely. All cases were successfully intubated and a tracheostomy was avoided in all cases in which emergency intubation was required and the patient was bleeding. We conclude that fibre-optic bronchoscopic intubation is a viable option in head and neck oncological emergencies due to upper airway obstruction and tumour bleeding. Clinical and endoscopic judgement and operator experience are the key factors determining success.

Evaluation of Unilateral Arytenoid Lateralization for the Treatment of Laryngeal Paralysis in 14 Cats

2010 ◽  
Vol 46 (6) ◽  
pp. 418-424 ◽  
Author(s):  
Brian Thunberg ◽  
Gary C. Lantz
Keyword(s):  
Postoperative Complications ◽  
Airway Obstruction ◽  
Median Duration ◽  
Clinical Signs ◽  
Case Series ◽  
Upper Airway ◽  
Common Cause ◽  
Laryngeal Paralysis

Laryngeal paralysis is a relatively common cause of upper airway obstruction in middle-aged to older, large-breed dogs; however, it is rare in the cat. The purpose of this study is to describe a series of cats diagnosed with laryngeal paralysis treated by unilateral arytenoid lateralization. Fourteen cats met the criteria of the study. Intraoperative and postoperative complications were seen in 21% (three of 14) and 50% (seven of 14) of cases, respectively. Median duration of follow-up was 11 months (range 3 weeks to 8 years). None of these cats had recurrence of clinical signs. Based on this brief case series, unilateral arytenoid lateralization appeared to be a suitable method for treating laryngeal paralysis in cats. Additional studies are warranted to determine the type and frequency of long-term complications.

Sign in / Sign up

Export Citation Format

Share Document