Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest.
Publication/Presentation Date
1-1-2016
Abstract
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.
Volume
2016
First Page
1329234
Last Page
1329234
ISSN
2090-6420
Published In/Presented At
Kashif, M., Talib Hashmi, H. R., & Khaja, M. (2016). Early Recognition of Foreign Body Aspiration as the Cause of Cardiac Arrest. Case reports in critical care, 2016, 1329234. https://doi.org/10.1155/2016/1329234
Disciplines
Medicine and Health Sciences
PubMedID
27006837
Department(s)
Department of Medicine
Document Type
Article