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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
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Scarf pin inhalation; presentation and management; a case series
Mustafa A Abduljabbar1, Sabah N Jabir2, Okba F Ahmed3
1Mosul Teaching Hospital, Mosul, Kurdistan, Iraq.
Annals of Medicine and Surgery (2012)
|January 25, 2021
Summary
Pin inhalation, a serious hazard, requires prompt diagnosis via patient history and radiography. Most pins were successfully removed, with no reported deaths in this study.
Area of Science:
- Thoracic surgery
- Pediatric pulmonology
- Accidental injuries
Background:
- Pin inhalation involves accidental entry of pins into the respiratory passages, posing a significant preventable thoracic problem.
- Understanding the scope and management of pin inhalation is crucial for patient outcomes.
Purpose of the Study:
- To investigate pin inhalation as a hazard.
- To determine the safest and most effective management strategies for pin inhalation.
- To analyze the characteristics and outcomes of patients with pin inhalation.
Main Methods:
- A retrospective case series was conducted over 18 months (January 2016 - April 2017).
- Data from patients with pin inhalation were collected and analyzed, including demographics, presentation, and removal methods.
- Key factors analyzed included age, gender, time to presentation, symptoms, signs, and removal complications.
Main Results:
- The study included 162 patients, with a mean age of 11 years.
- Pin inhalation was more frequent in males under 10 and females under 20; females constituted 73% of cases.
- Cough was the most common symptom (54%), and the left tracheobronchial tree was the most frequent site of lodgment (67.3%).
- The majority of pins (94%) were extracted in one piece, with one thoracotomy performed and no reported deaths.
Conclusions:
- Sharp pin inhalation is a critical hazard with potentially lethal outcomes.
- Patient history is paramount for initiating the diagnostic process for pin inhalation.
- Radiography serves as the gold standard for confirming the diagnosis of pin inhalation.
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