title: [Bronchial lobar obstruction from a sucralfate tablet: a rare cause of acute respiratory insufficiency].
abstract: We report two cases of patients with chronic respiratory disease who experienced an asphyxia after aspirating a sucralfate tablet that occluded a lobar bronchus. In adults, a foreign body is a rare cause of acute respiratory failure from tracheobronchial occlusion. The sucralfate tablet has the physical property of expanding rapidly when wet (contact with mucosa). After aspiration, the tablet expands to a larger size and can occlude a lobar bronchus, causing acute respiratory failure. In patients at risk of aspiration, we recommend the use of sucralfate in liquid or suspension form.
authors.affiliation: Service des urgences, centre hospitalier de Roubaix, hôpital Victor-Provo, France.
authors.forename: P H
authors.initials: PH
authors.lastname: Delesalle
authors.forename: P
authors.initials: P
authors.lastname: Herbecq
authors.forename: G
authors.initials: G
authors.lastname: Vignozzi
authors.forename: M A
authors.initials: MA
authors.lastname: Babe
authors.forename: C
authors.initials: C
authors.lastname: Lemaire
mesh_terms: D000368:Aged; D000402:Airway Obstruction / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D001239:Inhalation; D008297:Male; D013392:Sucralfate / Q000008:administration & dosage / Q000009:adverse effects* / Q000737:chemistry; D013607:Tablets / Q000009:adverse effects*
chemical_list: D013607:Tablets; D013392:Sucralfate