1/9. Aspiration of a dislodged endotracheal tube: a rare cause of acute total airway obstruction.We report an unusual cause of acute total airway obstruction after aspiration of a dislodged tube that was separated from its metallic connector. A 5-year-old boy had an emergence agitation and bucking to the endotracheal tube with a vigorous bite before extubation of the trachea. The whole uncuffed endotracheal tube was aspirated deep into the lower trachea causing laryngotracheal obstruction. The patient showed sudden oxygen desaturation and was then in an immediate life-threatening airway obstruction. We could not rescue oxygenation and were unable to establish a patent airway. Mask ventilation failed to relieve the progressive of hypoxemia. Immediate extraction of the tube using a pair of Magill's forceps before irreversible exacerbation was performed. We discuss our experience and the importance of prompt decision making and management for the extraction of the dislodged tube.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/9. Emergency CT scan for the diagnosis of superior mesenteric artery embolism. Report of 2 cases.Two patients with superior mesenteric artery embolism are presented. In both cases, contrast-enhanced computed tomography (CT) demonstrated enhancement of the superior mesenteric artery roots and non-enhanced filling defect in the more distal part of the artery. Immediate extraction of the embolus saved 1 patient but massive bowel resection was necessary in another. Mesenteric arteriography has been the golden standard for the diagnosis of mesenteric occlusion, but it is usually time-consuming and not universally available. On the other hand, CT equipment is in widespread use and the examination can be performed much more easily. patients with unexplained acute abdominal pain should undergo CT examination and be screened for mesenteric arterial occlusion.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
3/9. Accidental ingestion of a toothbrush!A case is reported of a 16-year-old girl who accidentally swallowed a toothbrush, which was safely extracted under local anaesthesia using a fibre-optic endoscope. The technique described is safe, and can be adapted for the extraction of a variety of foreign bodies from the oesophagus and the stomach. Guidelines are presented for the management of ingested foreign bodies, based on a review of the literature.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
4/9. Removal of common bile duct stones after emergency drainage of the gall bladder.Because of the hazards associated with cholecystectomy and choledochotomy in acute biliary tract disease, cholecystostomy may be performed as an emergency procedure. Postoperative tube cholangiography in such patients may show calculi in the biliary ducts. The percutaneous extraction of these calculi prior to cholecystectomy simplifies the elective surgical procedure.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
5/9. Salvage of an obstructed single kidney by combined percutaneous nephrostomy, percutaneous stone extraction and alkalinisation.A 72-year-old woman with a single kidney and renal calculi was admitted as an emergency with sepsis and anuria. Renal drainage was established by percutaneous nephrostomy (PTN) as an emergency procedure. A nephrostogram showed multiple lucent stones and a single opaque calculus in the renal pelvis. The definitive treatment of the mixed calculi was carried out through the PTN. The lucent stones were dissolved by alkaline irrigation and the opaque stone removed by a biliary basket via the dilated tract. The safety and simplicity of PTN as an emergency procedure and its use for definitive treatment with the avoidance of surgery are stressed.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
6/9. Management of dystocia caused by a large sacrococcygeal teratoma.Sacrococcygeal teratoma is a rare cause of dystocia. Reported management strategies to date have yielded few viable infants. In this case report, the infant was partially delivered when extraction was halted. The infant was intubated and resuscitated while preparations for emergency cesarean section were being made. The infant was subsequently delivered abdominally and three years later is normal. Despite absent thoracic cage movement during resuscitation, adequate oxygenation was possible. Increasing use of prenatal ultrasonography should allow early detection, and thus avoid such unanticipated dystocias.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
7/9. The use of intravenous nitroglycerin for emergency cervico-uterine relaxation.A patient with a twin pregnancy was in preterm labour after 25 gestational weeks when, during vaginal delivery of the second twin, severe spasm of the cervix and fetal bradycardia ensued. Induction of general anesthesia did not relax the cervix. After bolus doses of nitroglycerin 100 50 micrograms i.v., prompt cervico-uterine relaxation was obtained allowing manual extraction of the baby. A short review of the literature and a summary of our experience in the administration of nitroglycerin i.v. in obstetrics are presented.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |
8/9. Arteriovenous malformation of the mandible: life-threatening complications during tooth extraction.This case illustrates how a vascular malformation can turn an ordinary tooth extraction into an emergency situation. arteriovenous malformations are rare and difficult to detect on radiographs. Early warning signs are discussed and surgical treatment is described.- - - - - - - - - - ranking = 2.5keywords = extraction (Clic here for more details about this article) |
9/9. Cervicofacial and mediastinal emphysema as the result of a dental procedure.Cases of cervicofacial subcutaneous emphysema occurring during dental treatment often result from the use of air-water cooled dental drills during tooth extraction. A case is presented in which a compressed air syringe, used to dry the field, caused diffuse cervicofacial emphysema with retropharyngeal and mediastinal extension. The point of entry appeared to be a 4 mm superficial laceration of the buccal mucosa. Despite the size of the wound, a significant amount of air was able to enter the tissues and spread quite distantly. Though many cases of subcutaneous emphysema go unnoticed, diffuse extension, especially with involvement of deep neck structures and with thoracic extension, must be recognized as they can be potentially life-threatening.- - - - - - - - - - ranking = 0.5keywords = extraction (Clic here for more details about this article) |