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Title
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The breathtaking power of money. A case report of an unexpected, impaired intubation by a swallowed coin
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Author
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Abstract
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| Two hours after swallowing of a two-euro coin, general anesthesia was administered in an 8-yearold girl for therapeutic esophagoscopy. Despite the absence of preoperative respiratory distress and a coronal position of the coin on a pre-operatively performed chest radiograph, a narrowing of the tracheal lumen unexpectedly complicated endotracheal intubation. Based on the age a much smaller endotracheal tube size was required, which could be placed with a rotating movement. The endoscopic removal of the foreign body from the upper esophagus was performed without further complications. Anatomical, pathophysiological and anesthesiological aspects of the relation between the trachea and the bulging esophagus arc being discussed. Airway management must include awareness of an increased risk of airway obstruction by the esophageal foreign body. The anesthesiologist must be prepared for unexpected and changing situations. |
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Language
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English
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Source (journal)
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Acta anaesthesiologica belgica / Belgische Vereniging voor Anesthesie en Reanimatie; Society for Anesthesia and Resuscitation of Belgium. - Brussel, 1950, currens
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Publication
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Brussel
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2017
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ISSN
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0001-5164
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Volume/pages
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68
:2
(2017)
, p. 91-94
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ISI
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000448468600006
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Full text (publisher's version - intranet only)
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