Korean J Anesthesiol Search


Korean J Anesthesiol > Volume 46(6); 2004 > Article
Korean Journal of Anesthesiology 2004;46(6):724-728.
DOI: https://doi.org/10.4097/kjae.2004.46.6.724   
Cardiac Arrest after Complete Intratracheal Obstruction by an Aspirated Blood Clot in a Patient with Upper G-I Bleeding: A case report.
Duck Kyoung Kim, Hong Yong Jin, Hyung Rae Oh
1Department of Anesthesia and Pain Medicine, National Cancer Center, Goyang, Korea.
2Department of Anesthesia and Pain Medicine, National Police Hospital, Seoul, Korea.
Fatal airway obstruction due to the presence of blood clot occurs in a variety of clinical settings. Initial efforts to remove an airway clot, if warranted, involve suctioning, lavage, and forceps extraction through a flexible bronchoscope. If unsuccessful, further management options include rigid bronchoscopy, balloon-tip embolectomy catheter dislodgement, and the application of topical thrombolytic agents. We report a case of complete airway obstruction that developed after the aspiration of a blood clot during emergency operative vessel ligation in a 86-year-old female patient with gastric ulcer bleeding. Initial conventional suctioning was unsuccessful, in this case, due to a large firmly adherent clot. Therefore we peformed the alternative suctioning technique using suction attached directly to the existing tracheal tube in situ, with the cuff deflated. However, repeated direct tracheal suctioning alone failed to prevent cardiac arrest. Thereafter, simultaneously with several CPR chest compressions, large cylindrical clots were sucked up by direct tracheal suctioning. Presumably simultaneous chest compression has the potential advantage of creating higher airway pressures that provide effective kinetic energy to obstructing object.
Key Words: airway obstruction; aspiration, blood; resuscitation; suction catheter; trachea
Share :
Facebook Twitter Linked In Line it
METRICS Graph View
  • 0 Crossref
  • 948 View
  • 2 Download


Browse all articles >

Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2023 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next