Airway foreign body occurs unintentionally during anesthetic management of patient with asthma |
Woo Jin Cho, So Hui Yun, Yun Suk Choi, Bang Won Lee, Mi Ok Kim, Jong Cook Park |
Department of Anesthesiology and Pain Medicine, Jeju National University Hospital Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Department of Anesthesiology and Pain Medicine Division of Pulmonary, Department of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine |
Correspondence:
Jong Cook Park, Email: pjcook@jejunu.ac.kr |
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Abstract |
Intraoperative delivery of salbutamol (β2 agonist) through a breathing circuit may be performed in asthma patient. A 28-year-old woman with a history of asthma was diagnosed with chronic sinusitis and bilateral nasal polyps, and an endoscopic sinus surgery was performed. The patient was recommended salbutamol nebulization every 4 hours during the perioperative period because of the risk of asthma attack. At the end of the operation, when salbutamol was sprayed through the tube before extubation and the connector tip went inside the tube during injection. The patient was immediately referred to the pulmonary medicine department for bronchoscopy, where the foreign body was removed safely without any complications. When general anesthesia is performed on a patient who usually uses an inhaler for asthma, caution is required because the tip that connects the inhaler and the breathing circuit can aspirate into the endotracheal tube and enter the lungs when applying the inhaler before waking up the patient. |
Key Words:
Adrenergic, beta, 2, receptor, agonists;, Airway, obstruction; |
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