A resuscitated case from asphyxia by large bronchial cast.
A 62-year-old woman with bronchiectasis suffered from asphyxia due to a large bronchial cast that obstructed the bronchial tree. Immediate bronchoscopic suction of a bronchial cast of 17 cm in length through the intubated tube relieved the patients without any complications. Large bronchial casts appear to be rare in this century but it should be considered in patients with acute exacerbation of excessive sputa not only in patients with asthma or allergy but also in patients with respiratory tract infection.
Itabashi
S
S
Department of Respiratory Medicine and Anesthesiology, Shiogama City Hospital, Shiogama, Japan.
Kano
M
M
Endo
K
K
Sasaki
H
H
D000402:Airway Obstruction / Q000150:complications* / Q000473:pathology / Q000601:surgery; D001237:Asphyxia / Q000209:etiology* / Q000628:therapy*; D001982:Bronchial Diseases / Q000150:complications* / Q000473:pathology / Q000628:therapy; D001987:Bronchiectasis / Q000150:complications / Q000000981:diagnostic imaging; D001996:Bronchopneumonia / Q000150:complications / Q000382:microbiology; D001999:Bronchoscopy; D002442:Ceftazidime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000188:drug therapy; D013902:Radiography, Thoracic; D012151:Resuscitation; D013396:Suction; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D002511:Cephalosporins; D002442:Ceftazidime