Delayed diagnosis of tooth aspiration in three multiple trauma patients with mechanical ventilation

Zhang, Mao; Zhou, Guozhong; Zhao, Song; Yang, Jinlin; Lu, Xiaoxiao; Gan, Jing; Xu, Shao-wen

doi:10.1186/cc10148

Cited by 18 publications

(15 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The items reported include dentures, dental devices, chewing gum, windshield glass and dashboard plastic 4–7. Tooth aspiration has been reported in the setting of trauma 2 4 6 8 9. Tooth aspiration is usually recognised easily as compared with aspiration of other materials owing to its radio-opaque nature, but may be missed if there is superimposition of other thoracic radio-opaque structures like the spine or the ribs on chest radiograph.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute respiratory failure following traumatic tooth aspiration

et al. 2013

View full text Add to dashboard Cite

Foreign body aspiration can infrequently occur following trauma. Tooth aspiration after trauma is a rare clinical scenario. Here, we report a case in which tooth aspiration after trauma led to a presentation of acute respiratory failure with clinical findings mimicking tension pneumothorax. Successful removal of the aspirated tooth was accomplished by rigid bronchoscopy. Tooth aspiration must be considered in the list of differential diagnosis for any patient having signs or symptoms of respiratory distress following trauma especially maxillofacial trauma.

show abstract

Section: Discussionmentioning

confidence: 99%

“…In the absence of acute symptoms at presentation, foreign body aspiration following trauma can remain undetected and lead to delayed complications 2. In the index patient, inhalation of a tooth occurred subsequent to polytrauma sustained during a roadside accident.…”

Section: Introductionmentioning

confidence: 99%

Acute respiratory failure following traumatic tooth aspiration

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Pulmonary disorders, acid-base and hydroelectrolyte imbalances 2,4 may lead to systematic decompensation of the cardiovascular, respiratory, and gastrointestinal systems. 4 All these combined lead to multiple organ dysfunction and death, due to the massive synthesis of reactive oxygen species, inflammatory mediators, and physiological and biochemical imbalance. 4 Hypothermia plays an important role in the clinical evolution of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…4 All these combined lead to multiple organ dysfunction and death, due to the massive synthesis of reactive oxygen species, inflammatory mediators, and physiological and biochemical imbalance. 4 Hypothermia plays an important role in the clinical evolution of the patient. The degree of hypothermia depends on several factors, such as: water temperature, wounds, metabolism, toxins etc.…”

Section: Discussionmentioning

confidence: 99%

“…The degree of hypothermia depends on several factors, such as: water temperature, wounds, metabolism, toxins etc. 3,4 It is known that therapeutic hypothermia protects the brain from a series of injuries: stroke and brain injury, cardiac arrest, encephalopathy and spinal cord trauma, being more and more used in clinical practice. The protective effects of mild hypothermia are due to a decrease in basal metabolism, which leads to decreased levels of calcium ions and inflammation markers, decreased blood-brain barrier permeability, and inhibits the biosynthesis of reactive oxygen species.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of Hypothermia on the Clinical and Molecular Status of a Freshwater Drowning Victim with Severe Trauma. A Case Report

Bedreag

Păpurică

Rogobete

et al. 2016

Journal of Interdisciplinary Medicine

View full text Add to dashboard Cite

Drowning in freshwater kills many people around the world. Complications are multiple and sometimes impossible to treat. Fluid and electrolyte resuscitation is difficult because of all the physiological, biophysical and biochemical changes that decrease the rate of survival. Extreme lung injury and cardiovascular disorders are responsible for tissue hypoxia, increased production of inflammation markers, biosynthesis of reactive oxygen species and finally, multiple organ damage. Hypothermia, frequently associated with drowning, provides multiple benefits to this type of patients. Various studies have developed the idea that hypothermia protects the brain from biochemical mediators, thereby preventing neuronal cell destruction. In this case report we present the biological parameters and evolution of a patient drowned in freshwater, and also the benefits of hypothermia to the clinical picture.

show abstract

Accuracy of Resident‐Performed Point‐of‐Care Lung Ultrasound Examinations Versus Chest Radiography in Pneumothorax Follow‐up After Tube Thoracostomy in Rwanda

Shumbusho

Duanmu

Kim

et al. 2019

J of Ultrasound Medicine

View full text Add to dashboard Cite

Objectives The aim of this study was to evaluate the accuracy and timeliness of resident‐performed point‐of‐care lung ultrasound (LUS) examinations for the follow‐up of pneumothorax (PTX) after tube thoracostomy. Methods After brief training, Rwandan surgical residents blinded to chest radiography (CXR) performed and interpreted LUS examinations for PTX in participants undergoing CXR for PTX follow‐up. Treating clinicians interpreted CXR for the presence of PTX for therapeutic decisions. Lung ultrasound was later reviewed by ultrasound experts, and CXR was reviewed by a radiologist. We defined expert LUS interpretation as the reference standard. The sensitivity and specificity of resident‐performed LUS examinations for diagnosing PTX were calculated. We assessed agreement between trained resident versus expert LUS and clinician versus radiology CXR using the Cohen κ coefficient. We compared the time to results between LUS and CXR. Results Over an 8‐month period, 51 participants were enrolled. Compared to expert LUS interpretation, the sensitivity and specificity (95% confidence intervals) of resident LUS were 100% (85%–100%) and 96% (82%–100%), respectively, whereas the sensitivity and specificity of clinician‐interpreted CXR were 48% (27%–69%) and 100% (88%–100%). The agreement between resident and expert LUS was excellent (κ = 0.96), whereas the agreement between clinician and radiologist CXR was only moderate (κ = 0.60). The time to results was significantly longer for CXR than LUS (mean, 1335 versus 396 minutes; P = .0001). Conclusions A resident‐performed LUS examination was a quicker imaging modality with superior sensitivity compared to clinician‐interpreted CXR for PTX follow‐up after tube thoracostomy in this Rwandan study. Lung ultrasound can be a valuable imaging tool for PTX follow‐up, especially in resource‐limited settings.

show abstract

Delayed diagnosis of tooth aspiration in three multiple trauma patients with mechanical ventilation

Cited by 18 publications

References 3 publications

Acute respiratory failure following traumatic tooth aspiration

Acute respiratory failure following traumatic tooth aspiration

Influence of Hypothermia on the Clinical and Molecular Status of a Freshwater Drowning Victim with Severe Trauma. A Case Report

Accuracy of Resident‐Performed Point‐of‐Care Lung Ultrasound Examinations Versus Chest Radiography in Pneumothorax Follow‐up After Tube Thoracostomy in Rwanda

Contact Info

Product

Resources

About