Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest
Foreign body aspiration (FBA) is uncommon in the adult population but can be a life-threatening condition. Clinical manifestations vary according to the degree of airway obstruction, and, in some cases, making the correct diagnosis requires a high level of clinical suspicion combined with a detailed...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2016/1329234 |
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| _version_ | 1832553313207320576 |
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| author | Muhammad Kashif Hafiz Rizwan Talib Hashmi Misbahuddin Khaja |
| author_facet | Muhammad Kashif Hafiz Rizwan Talib Hashmi Misbahuddin Khaja |
| author_sort | Muhammad Kashif |
| collection | DOAJ |
| description | Foreign body aspiration (FBA) is uncommon in the adult population but can be a life-threatening condition. Clinical manifestations vary according to the degree of airway obstruction, and, in some cases, making the correct diagnosis requires a high level of clinical suspicion combined with a detailed history and exam. Sudden cardiac arrest after FBA may occur secondary to asphyxiation. We present a 48-year-old male with no history of cardiac disease brought to the emergency department after an out-of-hospital cardiac arrest (OHCA). The patient was resuscitated after 15 minutes of cardiac arrest. He was initially managed with therapeutic hypothermia (TH). Subsequent history suggested FBA as a possible etiology of the cardiac arrest, and fiberoptic bronchoscopy demonstrated a piece of meat and bone lodged in the left main stem bronchus. The foreign body was removed with the bronchoscope and the patient clinically improved with full neurological recovery. Therapeutic hypothermia following cardiac arrest due to asphyxia has been reported to have high mortality and poor neurological outcomes. This case highlights the importance of early identification of FBA causing cardiac arrest, and we report a positive neurological outcome for postresuscitation therapeutic hypothermia following cardiac arrest due to asphyxia. |
| format | Article |
| id | doaj-art-1596932262b6405daec5cc6c179c2fe5 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-1596932262b6405daec5cc6c179c2fe52025-02-03T05:54:20ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/13292341329234Early Recognition of Foreign Body Aspiration as the Cause of Cardiac ArrestMuhammad Kashif0Hafiz Rizwan Talib Hashmi1Misbahuddin Khaja2Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USADivision of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USADivision of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USAForeign body aspiration (FBA) is uncommon in the adult population but can be a life-threatening condition. Clinical manifestations vary according to the degree of airway obstruction, and, in some cases, making the correct diagnosis requires a high level of clinical suspicion combined with a detailed history and exam. Sudden cardiac arrest after FBA may occur secondary to asphyxiation. We present a 48-year-old male with no history of cardiac disease brought to the emergency department after an out-of-hospital cardiac arrest (OHCA). The patient was resuscitated after 15 minutes of cardiac arrest. He was initially managed with therapeutic hypothermia (TH). Subsequent history suggested FBA as a possible etiology of the cardiac arrest, and fiberoptic bronchoscopy demonstrated a piece of meat and bone lodged in the left main stem bronchus. The foreign body was removed with the bronchoscope and the patient clinically improved with full neurological recovery. Therapeutic hypothermia following cardiac arrest due to asphyxia has been reported to have high mortality and poor neurological outcomes. This case highlights the importance of early identification of FBA causing cardiac arrest, and we report a positive neurological outcome for postresuscitation therapeutic hypothermia following cardiac arrest due to asphyxia.http://dx.doi.org/10.1155/2016/1329234 |
| spellingShingle | Muhammad Kashif Hafiz Rizwan Talib Hashmi Misbahuddin Khaja Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest Case Reports in Critical Care |
| title | Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest |
| title_full | Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest |
| title_fullStr | Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest |
| title_full_unstemmed | Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest |
| title_short | Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest |
| title_sort | early recognition of foreign body aspiration as the cause of cardiac arrest |
| url | http://dx.doi.org/10.1155/2016/1329234 |
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