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KMID : 1155520160110010109
Anesthesia and Pain Medicine
2016 Volume.11 No. 1 p.109 ~ p.112
Flexible bronchoscopic foreign body removal through the I-gel supraglottic airway -A case report-
Yoo Ji-Young

Lee Yoon-Sook
Hong Soon-Young
Park Sang-Hee
Min Too-Jae
Kim Woon-Young
Kim Jae-Hwan
Park Young-Cheol
Abstract
The daily insertion of endotracheal tubes, laryngeal mask airways, oral/nasal airways, gastric tubes, transesophageal echocardiogram probes, esophageal dilators and emergency airways all involve the risk of airway structure damage. In the closed claims analysis of the American Society of Anesthesiologists, 6% of all claims concerned airway injury. Among the airway injury clams, the most common cause was difficult intubation. Among many other causes, esophageal stethoscope is a relatively noninvasive monitor that provides extremely useful information. Relatively not many side effects that hardly is ratable. Some of that was from tracheal insertion, bronchial insertion resulting in hypoxia, hoarseness due to post cricoids inflammation, misguided surgical dissection of esophagus. Also oropharyngeal bleeding and subsequent anemia probably are possible and rarely pharyngeal/esophageal perforations are also possible because of this device. Careful and gentle procedure is necessary when inserting esophageal stethoscope and observations for injury and bleeding are needed after insertion.
KEYWORD
Bronchoscopes, Foreign bodies, Laryngeal masks
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